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Illinois 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
$323.59 / $1,995.26 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,905.46 / $3,715.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $933.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27