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Mississippi 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
$1,888.01 / $2,122.73 / $3,268.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.44 / $3,112.66 / $6,893.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.85 / $2,621.85 / $2,884.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.00 / $2,497.00 / $2,497.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $50.00 / $80.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,956.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.48 / $2,838.31 / $5,321.84