go back

Delaware rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.11 / $919.46 / $9,405.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.77 / $314.06 / $380.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.72 / $409.58 / $587.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,473.18 / $5,473.18 / $5,473.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.83 / $283.83 / $799.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $464.14 / $862.78