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New Hampshire 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
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,488.17 / $20,892.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $436.52 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,151.93 / $114,815.36 / $131,825.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $645.65
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $676.08