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Pennsylvania rates for HCPCS 61799

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.31 / $308.64 / $21,879.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.64 / $21,879.00 / $23,354.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.89 / $295.29 / $295.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $2,391.00 / $4,789.00