go back

Indiana 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
$1,005.76 / $1,005.76 / $1,658.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.03 / $5,790.87 / $8,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.10 / $1,275.43 / $1,471.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00