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Hawaii rates for HCPCS 77435

Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.66 / $744.21 / $875.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.60 / $680.59 / $2,491.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.34 / $683.74 / $875.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.80 / $905.20 / $1,001.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.01 / $778.26 / $907.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.68 / $875.54 / $1,025.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.10 / $957.37 / $1,529.94