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Colorado 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
$707.33 / $707.33 / $707.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.69 / $707.33 / $707.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.00 / $1,479.00 / $3,598.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.97 / $931.65 / $1,505.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.50 / $1,921.34 / $2,774.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.59 / $1,010.59 / $1,100.83
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.60 / $707.33 / $1,188.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.03 / $976.63 / $1,205.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.74 / $1,020.62 / $2,252.21