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Louisiana 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
$121.56 / $121.56 / $134.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $123.34 / $135.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.21 / $101.21 / $101.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.09 / $83.94 / $150.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.91 / $97.19 / $125.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.59 / $80.86 / $123.33