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Tennessee 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
$524.81 / $56,234.13 / $56,234.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $147.91 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $25,118.86 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,513.56 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $4,073.80