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New Hampshire 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
$125.00 / $129.69 / $129.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.04 / $169.06 / $245.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.03 / $179.58 / $344.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $126.84 / $161.43