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Oklahoma 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
$2,994.78 / $5,270.81 / $5,629.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.51 / $3,030.12 / $3,412.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,135.38 / $4,135.38 / $4,390.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,589.56 / $13,548.25 / $21,560.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.08 / $1,284.08 / $1,284.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $4,282.54 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.44 / $3,225.07 / $20,170.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.39 / $2,841.90 / $4,420.09