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Georgia 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
$632.00 / $3,460.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,875.00 / $7,875.00 / $7,875.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $210.83 / $1,093.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.00 / $1,550.00 / $2,665.00