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Hawaii 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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.19 / $278.39 / $324.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00