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Ohio 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
$77.44 / $77.44 / $487.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.44 / $99.56 / $135.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $73.83 / $117.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.75 / $105.48 / $127.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $111.48 / $198.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.25 / $104.29 / $183.76