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Illinois rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.39 / $506.84 / $894.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.16 / $3,561.84 / $7,132.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $908.00 / $39,621.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.83 / $462.37 / $1,079.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $2,465.00 / $4,780.00