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New Jersey 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
$891.25 / $1,479.11 / $7,079.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,698.24 / $2,187.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,412.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,089.30 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $2,630.27