go back

Wisconsin rates for HCPCS G6015

Intensity Modulated Treatment Delivery Single Or Multiple Fields/Arcs Via Narrow Spatially And Temporally Modulated Beams Binary Dynamic Mlc Per Treatment Session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.79 / $536.07 / $2,216.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.85 / $589.49 / $2,032.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.28 / $417.28 / $417.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.38 / $1,585.95 / $1,802.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.90 / $948.28 / $2,349.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.37 / $309.55 / $650.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.94 / $826.06 / $1,508.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.38 / $1,749.60 / $2,349.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.95 / $924.35 / $1,650.57