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Minnesota 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
$3,579.01 / $3,579.01 / $3,579.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.52 / $3,579.01 / $6,893.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,799.84 / $16,687.71 / $31,492.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.94 / $1,552.77 / $3,735.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.44 / $616.88 / $660.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.16 / $1,419.60 / $2,941.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.50 / $493.50 / $562.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.12 / $3,924.02 / $10,493.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.76 / $2,067.89 / $9,104.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.76 / $2,067.89 / $8,570.34