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Minnesota 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
$103.29 / $137.05 / $237.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $291.55 / $434.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.41 / $170.28 / $179.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $176.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.78 / $275.32 / $518.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $265.31 / $478.22