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Washington, DC 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
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $245.47 / $794.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $537.03 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $457.09 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,691.53 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $562.34