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Arizona rates for HCPCS 49412

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $82.29 / $124.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.40 / $770.65 / $1,350.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.84 / $94.67 / $110.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.30 / $103.62 / $180.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.05 / $97.44 / $1,762.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.76 / $99.63 / $584.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $92.34 / $162.81