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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
$891.25 / $1,513.56 / $6,918.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $3,467.37
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,570.40 / $6,165.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,041.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $1,288.25 / $1,995.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $3,090.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $2,818.38