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Wisconsin 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

Facilitymedian $1,202 · 10th–90th $617$2,5700%10%20%10th90th$1,202Professionalmedian $1,023 · 10th–90th $562$3,1620%10%10th90th$1,023$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $954.99 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $954.99 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $954.99 / $3,467.37
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,949.84 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,513.56 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,479.11 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $758.58 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,380.38 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $812.83
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,202.26
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,548.82 / $2,818.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,513.56 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $5,888.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,162.28 / $12,589.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,890.45 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,819.70 / $4,786.30