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Rhode Island 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
$94.41 / $123.42 / $140.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.09 / $148.34 / $339.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.87 / $197.83 / $241.04