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Tennessee 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
$999.63 / $2,121.83 / $54,967.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $5,065.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,877.75 / $25,867.00 / $33,043.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,209.12 / $10,438.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00