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Nebraska 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
$906.06 / $3,010.60 / $7,105.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.19 / $2,108.19 / $2,108.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.32 / $1,812.11 / $1,857.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.57 / $2,368.00 / $2,898.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.06 / $1,961.68 / $8,883.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.02 / $2,498.73 / $3,288.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.31 / $1,051.53 / $1,833.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.63 / $2,047.70 / $2,785.83