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New Mexico 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
$202.17 / $202.17 / $202.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.18 / $202.17 / $876.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.08 / $275.27 / $392.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.98 / $326.06 / $409.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.77 / $353.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.23 / $249.98 / $283.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.98 / $334.33 / $409.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,085.00 / $4,616.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.84 / $334.36 / $506.40