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Wisconsin 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
$131.53 / $192.28 / $192.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $268.58 / $778.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $563.92 / $640.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $280.30 / $847.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.96 / $122.26 / $260.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.67 / $291.45 / $536.36
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $680.40 / $847.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.77 / $311.62 / $763.83