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Rhode Island 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
$373.22 / $658.27 / $740.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.06 / $1,485.78 / $1,607.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.90 / $3,230.67 / $3,760.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.59 / $828.40 / $1,095.63