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Texas 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
$1,092.27 / $1,805.64 / $6,851.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.94 / $897.06 / $1,255.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.50 / $903.30 / $1,467.46
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.06 / $1,076.47 / $1,477.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.68 / $2,368.00 / $2,633.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,883.41 / $9,149.92 / $9,149.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.06 / $1,566.46 / $3,797.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.08 / $1,242.49 / $1,940.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.06 / $1,888.91 / $2,633.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.58 / $1,675.82 / $2,118.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.26 / $897.06 / $1,289.08