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Nebraska 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
$2,041.74 / $4,073.80 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $12,302.69 / $23,988.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $251.19 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $371.54 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88