go back

Georgia rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.33 / $25,857.00 / $66,450.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.46 / $7,200.00 / $49,121.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $9,936.00 / $23,903.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.29 / $426.61 / $1,748.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,218.00 / $5,272.00