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Montana 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
$190.55 / $1,096.48 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $6,456.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $6,165.95 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $338.84 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $812.83 / $7,585.78