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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
$329.99 / $329.99 / $342.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.56 / $1,414.97 / $1,917.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $274.83 / $329.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00