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Illinois 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
$3,412.65 / $3,412.65 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.48 / $3,412.65 / $8,254.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.15 / $661.22 / $661.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,621.00 / $39,621.00 / $39,621.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.81 / $592.37 / $19,575.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.29 / $550.05 / $613.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,998.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.53 / $725.10 / $4,208.70