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Nebraska 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 $8,128 · 10th–90th $4,677–$19,4980%10%10th90th$8,128Professionalmedian $3,802 · 10th–90th $1,862–$16,9820%20%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $19,498.45 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,801.89 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $19,498.45 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $3,235.94 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,370.32 / $17,378.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,819.70 / $16,982.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,388.44 / $7,762.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,995.26 / $20,892.96