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Texas rates for HCPCS 0395T

High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed

Facilitymedian $912 · 10th–90th $562$4,1690%20%10th90th$912Professionalmedian $631 · 10th–90th $398$7240%20%40%10th90th$631$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $630.96 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,511.89 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $616.60 / $1,071.52
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,168.69
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,370.32 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $707.95 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $912.01 / $3,019.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $616.60 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $707.95 / $1,023.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $602.56 / $616.60