go back

North Carolina 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
$2,811.95 / $2,811.95 / $13,142.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.95 / $2,811.95 / $6,893.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.80 / $5,287.43 / $8,478.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.88 / $3,825.88 / $28,053.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,532.87 / $2,720.59 / $4,780.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.87 / $2,532.87 / $2,532.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.61 / $4,675.02 / $8,159.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.96 / $6,585.96 / $21,548.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,170.37 / $28,991.33 / $28,991.33