go back

New Mexico 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
$1,092.27 / $3,770.85 / $7,105.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.75 / $1,191.35 / $2,799.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,815.57 / $6,815.57 / $6,815.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,408.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.75 / $1,466.75 / $1,466.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.33 / $1,977.81 / $2,399.79