go back

Maryland 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
$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