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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: 6-10mev

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