go back

New Mexico rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.47 / $232.47 / $232.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.58 / $289.50 / $386.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $3,503.00 / $5,060.00