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Nebraska rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.94 / $209.94 / $209.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,548.13 / $8,612.58 / $16,659.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.94 / $367.40 / $1,150.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.45 / $542.23 / $775.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00