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Indiana 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
$84.64 / $84.64 / $84.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $84.64 / $123.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.82 / $20.82 / $20.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.69 / $951.97 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $64.69 / $89.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.79 / $107.19 / $130.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.79 / $95.47 / $121.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $85.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $85.67 / $142.69