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South Carolina 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
$66.12 / $66.12 / $66.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $79.31 / $155.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.19 / $103.19 / $103.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $109.15 / $153.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.12 / $75.92 / $129.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $118.44 / $191.98