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Minnesota 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
$1,028.54 / $1,028.54 / $1,028.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,272.27 / $14,288.40 / $27,674.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,541.48 / $3,606.00 / $8,674.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.44 / $3,296.75 / $6,830.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.54 / $1,878.74 / $5,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.00 / $9,370.00 / $12,774.00