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Louisiana rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.80 / $403.12 / $511.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $224.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $26,937.00 / $28,908.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,433.00 / $4,123.00