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Tennessee 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
$193.90 / $411.59 / $54,967.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.90 / $256.58 / $506.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $143.00 / $388.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.78 / $263.04 / $428.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,877.75 / $25,867.00 / $33,043.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.77 / $287.94 / $460.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,000.63 / $1,020.63
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$50.90 / $102.06 / $102.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.09 / $1,876.09 / $1,954.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.72 / $286.45 / $487.41