go back

Indiana 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.36 / $2,101.36 / $2,101.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.83 / $1,128.83 / $1,128.83