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Massachusetts 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
$70.00 / $70.00 / $2,554.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $226.22 / $864.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.52 / $779.52 / $941.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.81 / $348.00 / $348.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.39 / $342.39 / $463.65
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.12 / $425.65 / $441.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00