go back

New Hampshire rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.29 / $850.29 / $850.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,489.10 / $21,862.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $111,167.00 / $129,052.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00