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Texas rates for HCPCS 63620

Stereotactic Radiosurgery 1 Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.64 / $33,687.00 / $58,931.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,077.90 / $1,129.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,873.00 / $45,307.00 / $58,336.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $10,209.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.28 / $1,273.71 / $2,230.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.36 / $1,362.50 / $2,621.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00