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Arizona 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
$4,523.85 / $7,406.00 / $17,107.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,185.81 / $6,266.39 / $8,885.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.37 / $3,639.59 / $5,765.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.66 / $3,853.52 / $7,682.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,878.00 / $35,998.00 / $37,797.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.40 / $5,404.00 / $9,010.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.53 / $3,583.42 / $20,170.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $13,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.53 / $3,061.52 / $5,476.00