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North Carolina 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
$162.18 / $5,248.07 / $8,709.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $177.83 / $275.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,000.00 / $1,000.00