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Virginia 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 $3,981 · 10th–90th $2,089–$10,9650%10%10th90th$3,981Professionalmedian $2,291 · 10th–90th $891–$4,3650%10%10th90th$2,291$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,311.31 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,951.21 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $977.24 / $1,513.56
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,128.31 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,235.94 / $5,495.41
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,715.35 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,715.35 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $2,290.87 / $4,570.88