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Minnesota rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.18 / $222.18 / $222.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.24 / $13,277.30 / $27,674.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.66 / $772.80 / $1,859.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.15 / $706.52 / $1,463.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.14 / $420.56 / $1,259.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00