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New York 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
$232.64 / $3,880.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.11 / $231.11 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.13 / $187.13 / $14,648.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.20 / $250.00 / $439.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.13 / $555.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.85 / $172.85 / $209.08