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West Virginia 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 / $184.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.28 / $71.28 / $71.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,634.37 / $12,634.37 / $12,634.37