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Missouri 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
$182.12 / $218.29 / $34,070.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.12 / $218.29 / $866.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.19 / $266.66 / $410.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,365.00 / $25,365.00 / $25,365.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.12 / $331.86 / $642.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.54 / $327.44 / $2,526.00
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
$240.63 / $394.58 / $1,876.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.17 / $335.07 / $549.58