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Hawaii rates for HCPCS G6011

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.42 / $173.42 / $173.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.79 / $252.85 / $309.86
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.91 / $330.91 / $398.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.33 / $297.47 / $347.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.08 / $309.86 / $456.77
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.02 / $269.02 / $281.70