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Vermont 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
Professional
Modifier
Low / Median / High Price
$123.34 / $123.34 / $135.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.58 / $77.58 / $466.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $77.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $73.14 / $77.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $72.81 / $99.95