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Ohio 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
$1,027.05 / $1,527.22 / $3,749.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.00 / $2,786.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.55 / $1,112.23 / $1,619.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.78 / $1,291.78 / $1,291.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,440.00 / $13,382.00