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Virginia 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
$2,693.55 / $2,693.55 / $4,010.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.31 / $2,693.55 / $6,470.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.94 / $1,008.48 / $1,425.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,162.39 / $11,024.14 / $11,816.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.88 / $3,825.88 / $8,070.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $2,821.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,368.24 / $4,702.53 / $4,827.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,103.44 / $4,102.28 / $6,015.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $4,422.00 / $8,067.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,925.40 / $4,574.50 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.40 / $4,574.50 / $10,945.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.27 / $3,092.91 / $6,010.73