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Louisiana rates for HCPCS 63620

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

Facilitymedian $1,738 · 10th–90th $0–$11,7490%10%20%10th90th$1,738$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $26,915.35 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $6,165.95 / $12,882.50