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Indiana 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
$229.09 / $3,801.89 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $288.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $158.49 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $234.42 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,290.87 / $7,413.10