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Massachusetts 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
$123.34 / $123.34 / $123.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.44 / $123.34 / $271.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.27 / $197.27 / $453.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $62.11 / $535.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.61 / $231.96 / $391.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $207.71 / $268.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $91.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $31.54 / $66.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.27 / $197.27 / $453.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $62.11 / $535.96
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $81.78 / $158.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $45.51 / $110.10