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Utah 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
$129.32 / $129.32 / $770.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $109.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.95 / $115.57 / $154.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $162.35 / $172.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $179.55 / $237.01