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Tennessee 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
$1,693.72 / $2,302.48 / $9,619.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.16 / $1,010.16 / $1,010.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.65 / $1,691.25 / $2,498.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,883.41 / $9,149.92 / $9,149.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.21 / $1,577.16 / $2,450.67