go back

Michigan 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
$331.13 / $331.13 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $724.44 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,235.94 / $6,025.60