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Missouri 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
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.26 / $85.54 / $121.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $98.98 / $162.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.26 / $117.32 / $190.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.26 / $124.79 / $2,413.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $141.36 / $584.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.02 / $122.88 / $193.80