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Minnesota 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
$190.55 / $190.55 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $14,791.08 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $912.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,318.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $512.86 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $416.87 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,715.35 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $831.76