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Hawaii 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
$94.41 / $94.41 / $94.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $139.31 / $170.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.88 / $179.66 / $251.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.58 / $163.90 / $191.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.90 / $170.73 / $246.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.07 / $146.07 / $154.50