go back

Pennsylvania rates for HCPCS G6017

Intra-Fraction Localization And Tracking Of Targetor Patient Motion During Delivery Of Radiation Therapy (Eg 3d Positional Tracking Gating 3d Surface Tracking) Each Fraction Of Treatment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.42 / $85.17 / $85.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.42 / $123.34 / $309.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $88.48 / $142.03
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $70.62 / $114.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $62.68 / $102.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.25 / $108.25 / $108.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $34.52 / $114.22
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.04 / $84.23 / $110.69
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.03 / $78.04 / $114.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.17 / $85.17 / $85.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $123.34 / $219.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.90 / $74.70 / $150.38
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.25 / $108.25 / $108.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.06 / $59.06 / $61.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $60.24 / $65.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.28 / $76.65 / $121.20