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Texas rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.58 / $15,426.00 / $58,931.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $224.27 / $239.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,873.00 / $45,307.00 / $58,336.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,173.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.50 / $292.95 / $510.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.81 / $308.29 / $584.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,100.00 / $4,562.00