go back

Alaska rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.52 / $699.52 / $699.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.23 / $1,155.61 / $1,617.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.23 / $1,155.61 / $1,617.87