go back

Pennsylvania rates for HCPCS 61797

Strtctc Radiosurgery Ea Addl Cranial Les Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.18 / $223.65 / $21,879.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.26 / $223.58 / $951.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.92 / $308.43 / $427.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.64 / $286.54 / $454.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.63 / $371.35 / $371.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.65 / $21,879.00 / $23,354.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.04 / $322.30 / $951.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.10 / $378.00 / $538.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.91 / $286.54 / $454.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.40 / $213.40 / $235.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.71 / $219.61 / $235.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.70 / $297.61 / $469.51