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Vermont 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
$131.80 / $131.80 / $131.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $168.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.70 / $152.81 / $586.16