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North Dakota rates for HCPCS 77373

Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,511.89 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $3,162.28