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North Carolina rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.13 / $381.68 / $14,516.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $28,053.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.13 / $291.76 / $456.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,733.00 / $6,543.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $922.72 / $1,173.82