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Tennessee 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
$76.11 / $86.87 / $133.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $86.87 / $123.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.87 / $88.87 / $88.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.64 / $145.52 / $251.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $453.15 / $453.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.96 / $535.96 / $823.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $114.16 / $225.53