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Wisconsin 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 $2,239–$13,8040%10%10th90th$9,772Professionalmedian $2,951 · 10th–90th $1,698–$6,7610%10%10th90th$2,951$50.0$200.0$1.0K$5.0K$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
$2,570.40 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,630.27 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $12,882.50 / $14,125.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $4,168.69 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,238.72 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $2,290.87 / $2,951.21
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,445.44 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $27,542.29 / $29,512.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $6,918.31 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $1,548.82 / $16,982.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,709.64 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,309.57 / $9,332.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $17,782.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $11,748.98 / $16,982.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,466.84 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,737.80 / $3,162.28