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Missouri 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
$66.97 / $66.97 / $79.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $86.34 / $342.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.71 / $97.71 / $156.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $77.89 / $123.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.97 / $131.38 / $437.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.39 / $96.34 / $535.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.39 / $96.17 / $154.59