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Arkansas rates for HCPCS C1717

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.38 / $297.68 / $508.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.68 / $297.68 / $297.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.39 / $346.39 / $346.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.92 / $348.00 / $348.00