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North Carolina 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 $6,026 · 10th–90th $2,291$14,4540%10%20%10th90th$6,026Professionalmedian $2,630 · 10th–90th $1,738$5,3700%10%10th90th$2,630$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,309.57 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,290.87 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,801.89 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $9,772.37 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $3,019.95 / $5,495.41
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,988.33 / $23,988.33