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Oklahoma 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
$192.54 / $192.54 / $192.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.54 / $192.54 / $194.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.74 / $281.49 / $335.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.54 / $345.51 / $4,083.73
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.06 / $100.06 / $100.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.38 / $275.00 / $1,876.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.21 / $252.09 / $350.63