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California rates for HCPCS 19294

Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,025.60 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $100.00 / $23,988.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $331.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $186.21 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54