go back

Missouri 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
$3,117.65 / $5,186.12 / $31,959.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,117.65 / $3,409.90 / $6,266.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,390.64 / $4,390.64 / $4,390.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.24 / $512.38 / $930.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.82 / $623.82 / $25,365.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $4,705.60 / $11,564.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.32 / $725.10 / $20,170.37
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,049.25 / $5,049.25 / $5,049.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.32 / $671.22 / $13,200.00