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Wisconsin 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

Facilitymedian $11,482 · 10th–90th $1,380–$16,2180%10%10th90th$11,482Professionalmedian $3,548 · 10th–90th $1,585–$10,4710%10%10th90th$3,548$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,162.28 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,791.08 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,128.61 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,380.38 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,584.89 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,122.02 / $7,943.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $46,773.51 / $50,118.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $8,317.64 / $15,848.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $954.99 / $19,952.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,772.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,128.31 / $12,022.64
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $21,379.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $14,125.38 / $19,952.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,691.53 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,096.48 / $3,715.35