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Minnesota 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)

Facilitymedian $1,549 · 10th–90th $339–$26,3030%5%10%10th90th$1,549$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $14,454.40 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $812.83 / $1,949.84
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $776.25 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,467.37 / $6,456.54