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North Dakota 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
$83.73 / $83.73 / $83.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.73 / $123.34 / $123.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.20 / $201.93 / $232.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $30.47 / $73.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $129.91 / $199.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $179.78 / $535.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $159.03 / $199.76