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Iowa 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
Professional
Modifier
Low / Median / High Price
$593.40 / $593.40 / $608.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.55 / $1,420.10 / $2,117.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.90 / $651.34 / $1,047.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.24 / $1,128.34 / $1,781.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.49 / $820.15 / $2,184.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.79 / $905.45 / $1,436.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.55 / $1,133.83 / $1,561.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.89 / $2,088.69 / $2,356.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.49 / $727.45 / $1,078.16