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Tennessee 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
$486.58 / $486.58 / $608.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.76 / $608.23 / $676.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.34 / $786.35 / $1,227.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.35 / $1,818.73 / $2,620.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.88 / $4,354.92 / $4,532.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,140.28 / $4,140.28 / $5,314.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.36 / $705.28 / $1,523.39