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South Dakota 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
$3,579.01 / $3,579.01 / $3,579.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,579.01 / $6,266.39 / $6,893.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.50 / $616.88 / $616.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $6,408.01 / $16,840.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.96 / $1,559.94 / $4,109.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,004.84 / $4,150.10 / $9,019.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.93 / $4,109.57 / $6,275.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.96 / $2,067.89 / $3,747.07