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Michigan rates for HCPCS 19297

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.77 / $4,933.00 / $8,361.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.52 / $525.10 / $711.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.81 / $4,933.00 / $8,361.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00