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Michigan 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
$88.50 / $143.06 / $143.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $192.42 / $247.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $444.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.61 / $117.92 / $157.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.78 / $130.29 / $177.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.45 / $145.00 / $214.31