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West 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
$2,495.85 / $2,495.85 / $4,991.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.85 / $4,010.61 / $6,893.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,999.40 / $59,999.40 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,999.64 / $35,999.64 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.88 / $3,825.88 / $3,825.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.49 / $2,821.49 / $18,313.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,229.49 / $4,229.49 / $4,229.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.62 / $2,241.11 / $4,698.47