go back

Idaho 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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.99 / $452.09 / $689.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00