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New York 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
$966.03 / $1,990.36 / $91,191.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,445.00 / $5,492.00 / $131,516.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.81 / $1,558.81 / $1,558.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.78 / $1,291.78 / $118,916.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $923.20 / $3,202.49
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.40 / $1,043.40 / $1,043.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $47,916.75 / $97,605.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,700.00 / $16,782.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.25 / $1,295.25 / $2,803.93