go back

Virginia 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
$51.87 / $51.87 / $81.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $81.29 / $123.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.69 / $65.90 / $92.42
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $133.52 / $137.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.98 / $86.17 / $134.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $145.01 / $209.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.71 / $122.85 / $344.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $122.85 / $344.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $103.03 / $164.37