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Alaska rates for HCPCS C1717

Brachytherapy source, nonstranded, high dose rate iridium-192, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $223.87 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $309.03 / $323.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $239.88