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Alaska rates for HCPCS G0339

Image guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $16,982.44 / $32,359.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,467.37 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,918.31 / $16,982.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $3,801.89 / $8,317.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $13,803.84 / $21,379.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,511.89 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $8,709.64