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Alaska rates for HCPCS 61797

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.34 / $607.34 / $607.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.29 / $1,003.29 / $1,358.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.10 / $708.10 / $708.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.68 / $1,003.29 / $1,434.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.53 / $1,388.10 / $1,677.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.25 / $970.50 / $1,434.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.68 / $1,003.29 / $1,434.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.80 / $952.50 / $1,489.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.91 / $854.59 / $1,329.22