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North Carolina 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
$1,090.30 / $1,691.00 / $14,516.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $28,053.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.27 / $1,143.13 / $1,929.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,209.12 / $10,209.12