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Minnesota 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
$147.91 / $147.91 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $977.24 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $549.54 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $309.03 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,715.35