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Wisconsin rates for HCPCS G6014

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,047.13 / $1,174.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $457.09 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $1,096.48