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Massachusetts 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
$740.46 / $740.46 / $740.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.57 / $740.46 / $762.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.88 / $3,464.88 / $4,354.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.80 / $839.68 / $4,140.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.93 / $1,412.73 / $2,381.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.71 / $924.29 / $1,998.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.96 / $875.96 / $1,030.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.98 / $1,621.57 / $2,006.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.88 / $3,464.88 / $4,354.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.80 / $839.68 / $4,140.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.16 / $787.76 / $1,570.25