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Nebraska 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
$3,174.96 / $3,174.96 / $3,174.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.96 / $3,174.96 / $3,174.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,548.13 / $8,612.58 / $16,659.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,582.09 / $22,000.00 / $22,550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.50 / $4,159.77 / $7,888.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,857.46 / $7,221.00 / $21,409.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.82 / $1,139.20 / $23,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.19 / $4,159.77 / $6,315.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.19 / $4,150.10 / $6,315.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.82 / $1,117.78 / $23,100.00