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Pennsylvania 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
$563.16 / $1,090.53 / $2,455.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.60 / $681.36 / $2,746.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.33 / $978.37 / $1,222.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.16 / $672.63 / $1,164.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.90 / $730.90 / $730.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.75 / $776.23 / $1,242.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.38 / $824.15 / $981.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.04 / $739.46 / $1,169.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.74 / $1,198.50 / $2,705.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.22 / $725.40 / $1,861.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.60 / $995.05 / $1,326.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.90 / $730.90 / $730.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.03 / $776.65 / $1,257.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.67 / $629.67 / $680.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.35 / $630.03 / $680.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.70 / $728.87 / $1,205.76