go back

New Hampshire 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
$1,621.81 / $2,398.83 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $8,511.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $1,905.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,905.46
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63