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New York 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
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $331.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $251.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $354.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $263.03