go back

Missouri 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
$947.02 / $1,133.69 / $34,070.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,365.00 / $25,365.00 / $25,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.97 / $1,527.05 / $8,611.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $6,362.00 / $12,989.00