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West 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
$60.14 / $60.14 / $60.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $81.29 / $135.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $121.71 / $141.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.71 / $198.47 / $198.47
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 / $385.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $94.03 / $180.22