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New Hampshire 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
$2,717.97 / $2,717.97 / $2,717.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,489.10 / $21,862.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.78 / $111,167.00 / $129,052.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00