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Arizona rates for HCPCS G6013

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.80 / $252.90 / $1,075.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $264.83 / $264.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.02 / $232.84 / $464.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $199.98 / $199.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.43 / $325.35 / $1,548.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.43 / $323.64 / $420.94