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Missouri rates for HCPCS G6002

Stereoscopic X-Ray Guidance For Localization Of Target Volume For The Delivery Of Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.92 / $16.92 / $20.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.84 / $72.51 / $127.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.92 / $20.30 / $57.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.92 / $52.26 / $95.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $81.20 / $99.45
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.72 / $25.87 / $28.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.93 / $78.09 / $121.51
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.22 / $22.43 / $33.47
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.57 / $55.50 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $69.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.45 / $18.45 / $18.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.10 / $49.10 / $50.53
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.24 / $104.06 / $104.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $104.24 / $468.55
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.34 / $24.27 / $126.27
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.48 / $75.27 / $342.28
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.37 / $114.37 / $114.37
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.28 / $33.28 / $33.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $90.38 / $169.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.34 / $24.27 / $46.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.91 / $70.42 / $141.88