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Wisconsin 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
$371.51 / $531.73 / $535.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.54 / $731.23 / $2,223.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.19 / $1,583.38 / $1,799.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.35 / $947.04 / $2,343.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.37 / $309.55 / $650.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.44 / $822.89 / $1,505.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.19 / $1,747.30 / $2,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.35 / $943.54 / $1,648.40