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Kentucky 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
$323.59 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $10,232.93 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $10,000.00 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $2,691.53