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North Carolina 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
$211.44 / $334.76 / $14,516.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.95 / $222.83 / $2,654.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.02 / $454.22 / $547.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,053.00 / $28,053.00 / $28,053.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.58 / $354.89 / $589.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.24 / $261.35 / $452.93
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$34.02 / $36.59 / $78.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $586.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.10 / $413.50 / $538.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.37 / $297.92 / $684.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $922.72 / $1,020.63
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$46.28 / $102.06 / $102.06
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.09 / $1,954.50 / $1,954.50