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Focused Radiation To One Spinal Target

South Dakota rates for HCPCS 63620

Delivers a single, tightly focused dose of radiation to one abnormal area in or beside the spine, aimed precisely enough to treat it while limiting the dose reaching the spinal cord. Nothing is cut — the beams are delivered from outside the body while you lie still.

Rates data updated July 2026.

Facilitymedian $1,622 · 10th–90th $1,072$2,9510%10%10th90th$1,622Professionalmedian $1,950 · 10th–90th $1,413$2,3990%20%10th90th$1,950$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$2,511.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32