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Massachusetts rates for HCPCS 63620

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

Facilitymedian $1,995 · 10th–90th $1,122–$19,9530%20%10th90th$1,995$100.0$500.0$2.0K$10.0K$50.0K

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
$1,122.02 / $1,122.02 / $24,547.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,548.13 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $54,954.09 / $61,659.50
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,548.82 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,918.31 / $15,488.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,548.13 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,025.60 / $14,125.38