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New York 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 $9,772 · 10th–90th $3,388–$138,0380%10%10th90th$9,772Professionalmedian $2,455 · 10th–90th $1,318–$4,8980%10%20%10th90th$2,455$100.0$500.0$2.0K$10.0K$50.0K

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
$1,513.56 / $48,977.88 / $83,176.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,754.23 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $9,772.37 / $144,543.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,479.11 / $2,630.27
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $15,135.61
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,073.80 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,495.41 / $7,762.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,265.80 / $6,918.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,897.79 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,981.07 / $10,964.78
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $3,548.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $6,918.31