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Nebraska 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
$76.42 / $76.42 / $76.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $76.42 / $507.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.90 / $173.90 / $173.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.79 / $71.37 / $71.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $122.69 / $204.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.78 / $145.19 / $437.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $149.88 / $535.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.27 / $119.85 / $193.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.69 / $126.37 / $204.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $149.88 / $184.71