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Louisiana 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
$1,508.35 / $2,076.28 / $6,389.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.35 / $1,770.67 / $6,266.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,725.64 / $13,190.30 / $19,227.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.67 / $2,635.87 / $2,763.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,562.00 / $24,606.00 / $30,556.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.62 / $2,687.56 / $4,893.84