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Tennessee rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.32 / $471.91 / $54,967.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $142.00 / $388.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,877.75 / $25,867.00 / $33,043.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $922.72 / $1,173.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00