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Washington, DC 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
$4,010.61 / $4,010.61 / $4,010.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.39 / $4,010.61 / $4,010.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,096.38 / $9,010.75 / $18,978.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,754.12 / $8,141.72 / $8,141.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.33 / $5,760.03 / $8,735.58