go back

Maine 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
$87.25 / $123.34 / $128.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.62 / $67.39 / $67.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.25 / $123.34 / $141.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $31.41 / $88.79