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Washington 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
$1,380.00 / $2,152.07 / $3,138.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,572.99 / $10,438.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $20,685.00 / $49,858.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.85 / $1,754.07 / $2,731.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.92 / $2,154.16 / $2,306.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.83 / $1,514.83 / $1,572.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00