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Maine 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
Professional
Modifier
Low / Median / High Price
$2,317.46 / $6,266.39 / $8,254.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.79 / $984.79 / $1,039.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,841.70 / $5,601.85 / $10,510.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.46 / $7,933.82 / $9,123.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,583.42 / $5,954.00 / $10,352.77