go back

Maine 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
$169.82 / $741.31 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $426.58 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $4,570.88 / $6,760.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $4,786.30 / $7,585.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $741.31 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $3,715.35 / $7,585.78