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South Carolina 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $28,840.32 / $66,069.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $891.25 / $23,988.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $331.13 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,760.83 / $10,000.00