go back

Utah rates for HCPCS 0395T

Hdr Electronic Brachytherapy Ntrstl/Intrcav

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.25 / $606.25 / $606.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.69 / $606.25 / $668.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.32 / $890.61 / $2,819.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.67 / $1,379.92 / $1,981.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.52 / $848.64 / $1,067.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.74 / $820.59 / $1,083.18