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Pennsylvania 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
$106.71 / $127.04 / $145.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.96 / $205.17 / $254.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.40 / $182.69 / $207.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $144.63 / $146.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $127.04 / $770.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $185.56 / $250.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.34 / $122.03 / $134.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $154.79 / $248.34