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Kentucky 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
$174.98 / $193.21 / $223.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.98 / $199.04 / $328.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.15 / $195.48 / $296.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.44 / $284.23 / $327.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.17 / $284.23 / $406.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.39 / $250.39 / $250.39
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$24.61 / $24.61 / $24.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.02 / $288.89 / $456.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.22 / $287.62 / $423.28