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Maryland rates for HCPCS G6004

Radiation Treatment Delivery Single Treatment Area Single Port Or Parallel Opposed Ports Simple Blocks Or No Blocks: 6-10mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.23 / $127.04 / $130.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $149.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $165.62 / $305.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $141.90 / $255.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.71 / $147.65 / $184.44