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Mississippi 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
$509.50 / $578.97 / $735.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.76 / $514.67 / $735.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.18 / $374.18 / $374.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.00 / $484.00 / $484.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.26 / $389.26 / $389.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $68.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.21 / $677.06 / $1,241.28