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Virginia rates for HCPCS 63621

Stereotactic Radiosurgery Ea Addl Spinal Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.83 / $289.50 / $22,703.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,836.00 / $44,154.00 / $47,864.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $29,401.00 / $44,719.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.15 / $301.72 / $356.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.83 / $327.14 / $472.93
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.49 / $313.56 / $1,285.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $2,863.00 / $5,340.00