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Alaska rates for HCPCS G6004

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.66 / $373.66 / $770.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $357.12 / $644.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.00 / $511.65 / $1,235.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.75 / $597.00 / $1,235.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.81 / $481.26 / $1,835.91