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Missouri rates for HCPCS 61796

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,348.96 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,819.70 / $9,549.93
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$245.47 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,344.23