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Pennsylvania 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 $2,754–$21,3800%10%20%10th90th$8,128Professionalmedian $2,754 · 10th–90th $1,778–$4,7860%20%10th90th$2,754$1.0$10.0$100.0$1.0K$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
$2,754.23 / $8,511.38 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,818.38 / $4,786.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,041.74 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $6,025.60
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $2,691.53 / $3,981.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $8,511.38 / $21,877.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,691.53 / $4,365.16
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,905.46 / $1,949.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,905.46 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,311.31 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $2,290.87 / $3,630.78