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Alaska rates for HCPCS G0340

Image guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment

Facilitymedian $5,623 · 10th–90th $3,715–$16,2180%10%10th90th$5,623Professionalmedian $2,291 · 10th–90th $1,738–$4,7860%10%20%10th90th$2,291$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $13,803.84 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,495.41 / $13,803.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,691.53 / $5,011.87
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $11,481.54 / $15,135.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,981.07 / $5,623.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,995.26 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,715.35 / $7,943.28