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Iowa 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
$429.81 / $1,648.05 / $2,852.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $226.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $483.15 / $483.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.54 / $587.49 / $913.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.59 / $599.17 / $825.16