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New Hampshire 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
$123.34 / $123.34 / $148.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.34 / $123.34 / $123.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $67.39 / $67.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.91 / $43.31 / $94.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $81.54 / $3,000.00