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Virginia 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
$898.60 / $2,000.00 / $7,971.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.37 / $1,173.10 / $1,774.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.05 / $1,718.90 / $5,814.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.87 / $3,085.42 / $5,992.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.18 / $1,346.41 / $1,379.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.00 / $2,006.00 / $2,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.49 / $1,813.92 / $9,795.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.18 / $1,607.96 / $2,628.94