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Wisconsin 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
$173.78 / $2,951.21 / $5,623.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $3,890.45 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $2,818.38 / $10,964.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $7,585.78 / $18,620.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $4,466.84 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $7,585.78 / $28,183.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $6,456.54 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $3,090.30 / $14,125.38