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Indiana 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
$226.22 / $1,469.86 / $6,324.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $226.22 / $309.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.58 / $828.58 / $828.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.11 / $445.11 / $445.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00