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Illinois rates for HCPCS C1716

Brachytherapy Source Non-Stranded Gold-198 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.38 / $184.38 / $184.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.38 / $184.38 / $221.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.03 / $1,267.22 / $1,602.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00