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South Carolina rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.50 / $665.22 / $52,190.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,925.29 / $9,925.29 / $9,925.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.58 / $890.00 / $32,555.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.90 / $300.47 / $570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00