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Arizona 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
$6,870.00 / $6,870.00 / $14,187.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.23 / $228.63 / $1,166.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.60 / $1,768.08 / $2,910.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.67 / $220.89 / $276.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,830.00 / $50,398.00 / $52,918.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.97 / $263.75 / $480.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.68 / $313.14 / $2,517.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$50.90 / $100.06 / $100.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.85 / $251.96 / $1,876.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,522.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.90 / $241.30 / $490.59