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Arkansas 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
$2,179.51 / $2,179.51 / $2,179.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.51 / $2,179.51 / $6,893.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,390.64 / $4,390.64 / $5,010.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.30 / $3,294.66 / $3,660.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,349.00 / $3,349.00 / $5,347.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.80 / $2,821.49 / $2,928.58
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,049.25 / $5,049.25 / $5,762.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.19 / $2,834.11 / $4,782.42