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Wisconsin rates for HCPCS G6013

Radiation Treatment Delivery 3 Or More Separate Treatment Areas Custom Blocking Tangential Ports Wedges Rotational Beam Compensators Electron Beam; 11-19mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.86 / $336.48 / $1,111.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $504.36 / $1,468.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.83 / $268.83 / $268.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $1,029.47 / $1,169.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $508.00 / $1,548.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $213.97 / $455.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.40 / $532.22 / $979.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $1,247.25 / $1,548.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $569.59 / $1,176.66