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Washington, DC 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
$723.60 / $723.60 / $723.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.53 / $723.60 / $723.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.51 / $2,262.46 / $3,954.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,128.04 / $5,873.73 / $6,056.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.73 / $1,489.62 / $1,489.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.95 / $640.67 / $1,994.43