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Washington, DC 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
$257.83 / $257.83 / $257.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.29 / $572.12 / $572.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00