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Maine 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
$2,511.89 / $2,570.40 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $3,630.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,548.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,819.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $2,754.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,621.81