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Massachusetts 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
$2,449.01 / $10,005.99 / $23,876.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,080.82 / $7,933.82 / $10,005.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $5,063.00 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $5,128.13 / $13,156.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,922.00 / $52,419.00 / $56,064.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,981.98
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $5,602.16 / $13,379.56
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.68 / $5,817.62 / $9,178.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,811.16 / $8,581.67 / $11,525.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.68 / $1,603.68 / $1,603.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.69 / $4,989.29 / $20,170.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.69 / $4,777.89 / $8,827.76