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New York rates for HCPCS 63621

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)

Facilitymedian $4,898 · 10th–90th $347–$128,8250%5%10%10th90th$4,898$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,888.44 / $144,543.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $426.58 / $128,824.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $741.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,467.37 / $7,943.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $707.95