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West Virginia 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
$95.30 / $127.04 / $127.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $573.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.66 / $108.50 / $223.86