G0340 Medicaid Rate by State

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 treatment

12 state Medicaid programs publish a fee-for-service rate for G0340 (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 treatment), ranging from $11.97 in Montana to $9,900.00 in Indiana.

Every state, kept current

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This page shows one representative rate per state for G0340. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

12

Median % of Medicare

--

Rate range

$11.97 - $9,900.00

G0340 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1,840.79----2026
Arizona$1,440.47----2020
Colorado$1,221.02----2026
District of Columbia$1,066.08--Required2019
Idaho$1,149.53--Required2025
Indiana$9,900.00----2024
Minnesota$2,115.26----2026
Montana$11.97----2026
Nevada$2,579.82----2009
Oklahoma$1,136.67----2026
Rhode Island$3,791.26----2026
Texas$1,707.79*----2025

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related physician codes

All 136 codes from G0008 to G0659 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for G0340?

12 state Medicaid programs publish a fee-for-service rate for G0340 (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 treatment), ranging from $11.97 in Montana to $9,900.00 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for G0340?

Indiana publishes the highest Medicaid rate for G0340 at $9,900.00. Montana publishes the lowest at $11.97.

Does G0340 require prior authorization under Medicaid?

2 of the 12 publishing states flag G0340 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".