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Utah 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
$186.21 / $2,951.21 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $3,467.37 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $501.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $7,585.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $3,630.78 / $9,332.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $4,677.35 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $3,235.94 / $6,760.83