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Oklahoma rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.40 / $221.40 / $221.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.78 / $364.70 / $4,083.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00