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California rates for HCPCS 63620

Stereotactic Radiosurgery 1 Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.87 / $38,293.00 / $76,588.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,204.00 / $14,348.00 / $36,414.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.70 / $100.00 / $3,617.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,794.00 / $38,137.00 / $53,438.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.27 / $1,219.76 / $1,524.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.14 / $1,411.18 / $2,659.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,209.12 / $10,438.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.20 / $1,386.86 / $1,959.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00