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Texas 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 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $2,951.21 / $5,128.61
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $3,388.44 / $7,079.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,183.83 / $29,512.09 / $29,512.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $2,951.21 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $177.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $9,120.11 / $10,964.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $3,090.30 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $2,238.72 / $6,025.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07