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Massachusetts 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
$1,129.72 / $1,129.72 / $23,876.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $3,752.54 / $10,209.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $52,419.00 / $56,064.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.91 / $1,909.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,904.00 / $14,018.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00