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Oklahoma 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
$807.43 / $838.19 / $838.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.31 / $1,407.31 / $1,407.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.95 / $1,391.56 / $1,421.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.89 / $1,443.89 / $1,443.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,409.45 / $8,883.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.53 / $1,409.45 / $2,027.43