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Alaska rates for HCPCS 63621

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)

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