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Wisconsin 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $707.95 / $794.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $331.13 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $281.84 / $794.33