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Kansas 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
$544.59 / $544.59 / $544.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.59 / $613.38 / $794.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.80 / $729.80 / $729.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.67 / $954.48 / $2,177.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.45 / $705.39 / $1,291.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.17 / $756.37 / $4,140.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.12 / $722.12 / $1,149.13