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Oregon rates for HCPCS G0340

Image-Guided Robotic Linear Accelerator-Based Sterotactic 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.48 / $1,330.48 / $1,330.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.95 / $4,348.67 / $4,834.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.69 / $2,316.69 / $2,316.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,859.80 / $6,712.27 / $9,012.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,720.37 / $3,778.10 / $5,848.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,618.23 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.49 / $1,493.70 / $1,607.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,720.37 / $3,290.29 / $5,848.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.69 / $2,613.98 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,939.55 / $6,473.17 / $7,983.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $13,246.00 / $26,404.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.33 / $2,311.92 / $7,453.43