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Connecticut 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
$151.38 / $151.38 / $151.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.34 / $151.38 / $271.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.96 / $90.76 / $756.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $27.19 / $66.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $108.92 / $114.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $37.42 / $104.50