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Maryland 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
Professional
Modifier
Low / Median / High Price
$73.69 / $101.69 / $135.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $73.14 / $73.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.40 / $130.90 / $203.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $70.78 / $111.64