G0340

CPT/HCPCS

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme

Physician Fee Schedule

Facility

Medicare Payment

$1,878.35

Submitted Charge$2,922.14
Medicare Allowed$2,357.52
Providers5
Beneficiaries21
Total Services42
Office

Medicare Payment

$1,695.83

Submitted Charge$8,710.94
Medicare Allowed$2,126.52
Providers229
Beneficiaries2,964
Total Services11,886