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Wisconsin 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
$74.13 / $181.97 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $12,589.25 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $426.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $2,570.40 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $9,772.37 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $208.93 / $288.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $15,848.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,489.63 / $17,378.01