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Wisconsin rates for HCPCS 77373

Stereotactic Body Radiation Delivery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.27 / $6,851.00 / $8,357.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.08 / $2,275.91 / $6,234.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.40 / $1,174.40 / $1,174.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.93 / $4,424.68 / $5,028.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.31 / $2,982.42 / $8,883.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.68 / $959.62 / $2,015.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.75 / $2,858.10 / $4,208.37
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,255.64 / $5,817.95 / $8,883.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,528.97 / $6,075.71 / $6,075.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.18 / $2,684.18 / $5,619.89