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Maine 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
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $208.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $181.97