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New York rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.12 / $436.99 / $91,191.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,445.00 / $5,492.00 / $131,516.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.92 / $346.92 / $346.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $287.58 / $118,916.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.00 / $296.89 / $709.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.38 / $228.38 / $228.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $47,916.75 / $97,605.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $3,961.00 / $8,312.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.38 / $284.38 / $776.44