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Florida 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
$372.16 / $623.37 / $658.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.16 / $623.37 / $1,084.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.05 / $1,641.69 / $2,298.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.61 / $632.40 / $968.69
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.74 / $599.17 / $647.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.62 / $570.70 / $710.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.20 / $620.64 / $1,040.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.36 / $616.36 / $616.36