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Wyoming 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
$948.01 / $948.01 / $948.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.00 / $3,730.00 / $3,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.54 / $2,375.17 / $4,547.41