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New Hampshire rates for HCPCS G6016

Compensator-based beam modulation treatment delivery of inverse planned treatment using three or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.93 / $413.66 / $413.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.08 / $477.32 / $692.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.19 / $309.19 / $309.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.72 / $556.70 / $817.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.88 / $325.47 / $414.23