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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $14,791.08 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,949.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $457.09 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $6,456.54