go back

Idaho 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
$107.94 / $155.47 / $237.02
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
$196.42 / $208.32 / $238.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $210.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $188.63 / $202.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.91 / $172.37 / $270.64