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South Carolina 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
$3,347.03 / $19,089.00 / $69,404.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.82 / $3,347.03 / $6,266.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,518.30 / $14,678.56 / $24,766.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.33 / $2,865.80 / $3,766.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,850.00 / $23,850.00 / $32,555.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.17 / $3,347.03 / $5,371.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.84 / $3,674.88 / $5,458.66