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Idaho 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
$309.50 / $309.50 / $9,315.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.82 / $226.22 / $309.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $226.22 / $289.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.29 / $913.80 / $1,119.58