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New Jersey rates for HCPCS 0394T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.69 / $272.69 / $272.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.18 / $368.18 / $368.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.96 / $585.95 / $639.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.55 / $197.55 / $295.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $196.74 / $324.64