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Maryland 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
$540.96 / $652.53 / $723.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.40 / $623.51 / $678.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.45 / $788.94 / $1,431.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.95 / $656.47 / $1,400.97