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Alabama 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
$6,918.31 / $6,918.31 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,772.37 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $14,454.40 / $15,135.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,698.24 / $3,090.30