go back

Montana 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $436.52 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $354.81 / $549.54