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Indiana 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
$191.86 / $191.86 / $313.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.68 / $194.63 / $322.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.48 / $274.44 / $378.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.41 / $241.41 / $278.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.70 / $213.09 / $278.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.66 / $261.27 / $441.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.48 / $252.60 / $399.30