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Michigan 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
$3,231.37 / $4,847.06 / $10,180.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.48 / $6,266.39 / $7,579.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,866.03 / $8,078.80 / $14,366.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.88 / $714.98 / $919.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.15 / $2,821.49 / $2,821.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.95 / $4,847.06 / $10,180.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.95 / $3,231.37 / $13,200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,030.00 / $12,726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.61 / $1,360.67 / $4,306.58