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Utah rates for HCPCS C1716

Brachytherapy Source Non-Stranded Gold-198 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.69 / $74.69 / $74.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $74.69 / $184.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.87 / $563.49 / $934.54