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North Dakota rates for HCPCS G6012

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.53 / $245.40 / $262.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.41 / $483.40 / $568.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $259.44 / $326.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.73 / $501.75 / $1,543.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.73 / $447.68 / $633.57