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Texas 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
$245.47 / $51,286.14 / $63,095.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $223.87 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $45,708.82 / $57,543.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $302.00 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $323.59 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,897.79