go back

New Mexico 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
$1,052.93 / $1,052.93 / $1,052.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.74 / $1,070.08 / $1,622.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00