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Texas 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
$630.96 / $2,511.89 / $7,585.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $1,584.89 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $177.83 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $1,047.13 / $2,691.53