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Virginia 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
$18.41 / $18.78 / $18.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $71.73 / $134.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.82 / $18.78 / $37.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.31 / $53.32 / $98.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $87.27 / $122.59
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.32 / $23.55 / $33.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.61 / $63.72 / $89.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.32 / $23.32 / $23.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $67.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.45 / $18.45 / $18.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.10 / $49.10 / $49.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $102.10 / $106.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.30 / $26.63 / $27.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.21 / $75.70 / $77.61
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.00 / $19.80 / $45.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $93.00 / $132.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.78 / $78.22 / $166.87
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.16 / $25.86 / $44.65
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.72 / $69.06 / $122.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $108.14 / $202.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.67 / $25.01 / $41.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.38 / $83.75 / $174.11