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Massachusetts rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.44 / $252.44 / $23,876.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.93 / $1,089.00 / $4,755.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $52,419.00 / $56,064.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.90 / $516.26 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,338.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00