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California rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.13 / $38,293.00 / $76,588.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $9,126.00 / $26,350.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.70 / $100.00 / $885.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,794.00 / $38,137.00 / $53,438.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.93 / $254.34 / $317.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.03 / $306.80 / $630.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $922.72 / $1,173.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.64 / $299.26 / $433.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.00 / $4,218.00 / $9,131.00