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Rhode Island 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
$1,194.94 / $1,194.94 / $1,194.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.03 / $1,181.69 / $2,651.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.66 / $1,755.15 / $2,102.86