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Connecticut 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
$426.58 / $45,708.82 / $63,095.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $57,543.99 / $70,794.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,495.41 / $9,332.54