go back

Kansas 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
$302.00 / $302.00 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $363.08 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $3,801.89