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Virginia 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
$317.18 / $320.51 / $446.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $411.07 / $576.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.19 / $309.19 / $309.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.44 / $476.71 / $489.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.76 / $630.44 / $835.46
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.45 / $476.36 / $1,289.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.10 / $496.62 / $858.99