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Texas 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
$1,958.53 / $31,732.00 / $48,667.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.94 / $2,305.90 / $6,266.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,373.60 / $5,397.76 / $18,010.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.00 / $736.00 / $1,977.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,910.00 / $45,037.00 / $48,764.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.96 / $21,548.42 / $21,548.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,170.37 / $20,170.37 / $28,991.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.73 / $3,171.48 / $6,545.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.86 / $5,478.00 / $9,074.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,100.00 / $6,100.00 / $6,100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.73 / $3,496.18 / $45,839.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.35 / $2,986.18 / $5,064.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $2,581.73 / $3,886.39