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Idaho 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
$1,045.96 / $1,045.96 / $1,045.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.96 / $2,081.44 / $6,266.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.44 / $2,206.34 / $2,879.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.75 / $1,359.75 / $1,359.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.16 / $941.36 / $2,039.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,503.09 / $5,105.35 / $5,371.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.53 / $3,144.24 / $5,626.56