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New Jersey 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
$762.99 / $762.99 / $762.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.96 / $668.97 / $762.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.64 / $1,594.41 / $2,845.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.13 / $1,124.40 / $1,420.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.25 / $893.25 / $893.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.24 / $1,624.57 / $3,216.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.82 / $813.67 / $1,140.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.17 / $722.12 / $1,272.10