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Arkansas 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
$373.71 / $373.71 / $373.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.71 / $373.71 / $658.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $683.13 / $1,457.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.22 / $666.32 / $1,116.00