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Utah 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
$123.34 / $123.34 / $123.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.91 / $123.34 / $483.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $73.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $282.18 / $308.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $83.84 / $101.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.74 / $118.91 / $184.63