go back

Pennsylvania 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 / $2,884.03 / $5,128.61
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,786.30 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $2,818.38 / $6,918.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,309.57 / $6,918.31
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $4,786.30 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $2,884.03 / $8,128.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,244.36 / $8,912.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,778.28 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $2,454.71 / $6,165.95