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Pennsylvania 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
$205.88 / $247.15 / $1,200.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.24 / $199.24 / $200.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.64 / $373.00 / $464.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $199.09 / $199.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.05 / $332.12 / $376.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.20 / $260.66 / $448.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.53 / $273.24 / $1,033.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.30 / $337.37 / $455.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $199.09 / $199.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.37 / $222.25 / $244.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $283.56 / $486.07