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West Virginia 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 / $162.18 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09