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Maryland 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
$1,984.39 / $1,984.39 / $1,984.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.39 / $4,010.61 / $6,893.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.75 / $2,821.49 / $2,821.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,395.09 / $4,346.88 / $6,003.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.17 / $2,986.18 / $5,064.60