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New York 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
$2,589.21 / $7,933.82 / $83,947.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.00 / $6,266.40 / $7,933.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,451.00 / $5,463.00 / $131,516.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.42 / $1,458.31 / $3,077.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,290.11 / $3,290.11 / $13,009.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,290.11 / $3,290.11 / $3,290.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.88 / $7,227.90 / $118,916.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,400.00 / $12,051.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,820.52 / $7,244.14 / $13,176.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,676.90 / $5,856.64 / $8,802.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $7,227.90 / $118,916.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.98 / $2,821.49 / $2,821.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,057.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,538.25 / $4,547.68 / $10,134.67
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,853.70 / $4,853.70 / $4,853.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,857.61 / $4,853.70 / $9,538.44