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Minnesota 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
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $199.53 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $275.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $323.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $263.03 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $123.03 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $275.42