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Montana rates for HCPCS G6005

Radiation Treatment Delivery Single Treatment Area Single Port Or Parallel Opposed Ports Simpleblocks Or No Blocks: 11-19mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $151.66 / $770.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $109.51 / $199.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.45 / $151.79 / $199.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.69 / $181.71 / $357.96