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Wisconsin 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

Facilitymedian $76 · 10th–90th $21–$1550%10%10th90th$76Professionalmedian $95 · 10th–90th $25–$5370%10%10th90th$95$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $67.61 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $100.00 / $112.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $46.77 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $125.89 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $79.43 / $537.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $371.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $537.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $112.20