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Virginia 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)

Facilitymedian $5,888 · 10th–90th $100–$16,9820%5%10%10th90th$5,888Professionalmedian $107 · 10th–90th $79–$2190%10%20%10th90th$107$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $6,760.83 / $15,135.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,332.54 / $21,877.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $245.47
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $125.89 / $181.97
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $123.03 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $12,882.50 / $26,302.68