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Oregon 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
$275.42 / $467.74 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,329.30 / $102,329.30 / $102,329.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $281.84 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $588.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $407.38 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $295.12 / $524.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,495.41 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $436.52 / $602.56