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Nebraska 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
$181.97 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $446.68 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $323.59 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,311.31 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $537.03