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Indiana 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
$3,168.01 / $3,168.01 / $3,168.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.82 / $3,185.81 / $6,470.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.52 / $1,644.00 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.00 / $930.00 / $1,283.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,056.61 / $3,973.59 / $4,737.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.61 / $3,820.76 / $15,592.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.59 / $2,821.49 / $2,821.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.33 / $3,195.21 / $5,375.12