go back

Oregon rates for HCPCS C1716

Brachytherapy Source Non-Stranded Gold-198 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.34 / $221.34 / $226.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.38 / $184.38 / $208.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.38 / $193.60 / $396.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.87 / $75.87 / $75.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.91 / $688.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.38 / $223.01 / $396.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.25 / $788.50 / $2,470.51