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Minnesota 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
$87.85 / $87.85 / $87.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $123.34 / $309.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.22 / $63.35 / $1,006.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $62.22 / $63.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.90 / $76.44 / $183.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $30.47 / $32.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.44 / $69.89 / $144.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $24.38 / $27.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $54.29 / $148.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $114.16 / $290.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $98.80 / $273.02