go back

Ohio rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.58 / $339.90 / $859.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.00 / $2,786.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $246.78 / $359.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $287.58 / $287.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,600.00 / $5,235.00