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Oregon 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
$1,047.13 / $1,047.13 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $6,309.57 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $8,128.31 / $10,964.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,168.69 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $6,309.57 / $8,317.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $6,309.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,951.21 / $8,128.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $6,309.57 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $16,218.10 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $8,511.38