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New Mexico 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
$3,801.89 / $10,000.00 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,818.38 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $3,467.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $8,912.51 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,019.95 / $5,888.44