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Wisconsin rates for HCPCS G6012

Radiation Treatment Delivery 3 Or More Separate Treatment Areas Custom Blocking Tangential Portswedges Rotational Beam Compensators Electron Beam; 6-10mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.18 / $350.12 / $1,316.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.88 / $489.08 / $1,416.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.62 / $267.62 / $267.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $1,024.97 / $1,164.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.12 / $510.86 / $1,543.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $213.97 / $455.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.52 / $529.85 / $974.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $1,245.55 / $1,543.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.12 / $475.80 / $1,140.50