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Minnesota 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 / $226.22 / $548.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $226.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.24 / $347.33 / $2,002.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $348.00 / $348.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.82 / $382.31 / $886.99