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Virginia 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
$1,176.70 / $1,274.53 / $22,703.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,836.00 / $44,154.00 / $47,864.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.78 / $29,401.00 / $44,719.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.48 / $1,387.91 / $1,640.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.45 / $1,390.40 / $2,082.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.33 / $1,376.22 / $4,739.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00