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Virginia 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)

Facilitymedian $372 · 10th–90th $251–$22,9090%10%10th90th$372Professionalmedian $316 · 10th–90th $214–$4370%20%10th90th$316$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $288.40 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $44,668.36 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $36,307.81 / $44,668.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $331.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $416.87 / $575.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $489.78
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $316.23 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $5,370.32