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Wisconsin rates for HCPCS 0197T

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg, 3D positional tracking, gating, 3D surface tracking), each fraction of treatment

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.35 / $230.61 / $353.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.13 / $87.05 / $104.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.57 / $86.57 / $137.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.57 / $86.57 / $137.62
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.57 / $86.57 / $137.62