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New York 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
$1,129.15 / $1,693.72 / $4,142.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.68 / $1,307.01 / $3,355.92
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.63 / $1,601.63 / $1,601.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.88 / $1,465.68 / $5,992.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.91 / $1,389.30 / $2,112.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.34 / $1,217.23 / $1,829.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.36 / $1,306.36 / $1,320.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.88 / $1,915.27 / $4,660.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.61 / $1,444.61 / $3,581.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.06 / $1,406.22 / $2,826.77