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North Dakota rates for HCPCS 0394T

High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $205.02 / $315.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $320.06 / $1,172.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.22 / $288.05 / $487.21