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Connecticut 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
$812.65 / $812.65 / $812.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.46 / $812.65 / $812.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.00 / $1,009.08 / $2,153.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.90 / $895.25 / $1,062.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.95 / $2,260.69 / $4,516.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.48 / $919.06 / $1,510.28