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Pennsylvania rates for HCPCS 61798

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.01 / $1,419.26 / $21,879.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.71 / $1,267.01 / $2,109.40
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
$1,228.99 / $1,959.48 / $2,653.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.81 / $1,705.82 / $2,817.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.81 / $2,352.51 / $2,352.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.26 / $21,879.00 / $23,354.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.53 / $1,420.89 / $3,491.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,425.50 / $3,460.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.79 / $1,705.82 / $2,817.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $1,355.70 / $1,355.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.04 / $1,355.70 / $1,438.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.35 / $1,802.01 / $2,758.00