go back

Montana rates for HCPCS G6003

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.72 / $158.19 / $1,018.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.10 / $135.10 / $242.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.54 / $184.54 / $242.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.30 / $237.29 / $333.38