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Michigan 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
$1,474.82 / $1,474.82 / $1,531.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,349.36 / $6,278.57 / $8,506.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.84 / $1,181.84 / $1,474.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00