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Oklahoma 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
$522.40 / $522.40 / $982.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.22 / $595.57 / $668.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.13 / $683.13 / $683.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.40 / $548.52 / $4,532.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $701.74 / $4,140.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.17 / $656.47 / $997.51