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North Dakota 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
$2,486.92 / $2,486.92 / $2,486.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.92 / $3,579.01 / $6,266.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.50 / $616.88 / $2,821.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.16 / $2,486.92 / $7,460.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.72 / $1,543.12 / $20,170.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.98 / $1,901.71 / $3,841.90