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Missouri rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.95 / $251.64 / $34,070.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,365.00 / $25,365.00 / $25,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.37 / $360.09 / $2,526.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,650.00 / $9,475.00