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Arkansas rates for HCPCS G6017

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D surface tracking), each fraction of treatment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $66.66 / $66.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.08 / $66.66 / $135.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $75.22 / $83.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.57 / $115.57 / $115.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.93 / $73.14 / $73.14
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.60 / $163.60 / $163.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $92.81 / $161.72