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Arizona rates for HCPCS 63620

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,870.00 / $6,870.00 / $14,187.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,555.20 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,830.00 / $50,398.00 / $52,918.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.77 / $1,424.00 / $9,249.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $7,205.00 / $11,396.00