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Alabama rates for HCPCS 0395T

High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.67 / $514.67 / $514.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.58 / $514.67 / $578.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.23 / $786.65 / $1,058.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.54 / $1,274.95 / $2,075.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.14 / $438.14 / $438.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.59 / $626.42 / $787.76