go back

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
$74.76 / $181.26 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,159.00 / $11,302.00 / $14,586.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.08 / $265.36 / $428.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.76 / $103.12 / $173.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.47 / $7,984.00 / $16,779.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.76 / $103.12 / $173.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $252.99 / $331.04
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,816.20 / $15,816.20 / $15,816.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,984.00 / $12,373.00 / $15,090.00