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Maryland rates for HCPCS 19296

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $2,691.53 / $5,888.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $218.78 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $3,235.94 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,897.79 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $2,754.23 / $7,079.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,623.41 / $6,309.57