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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
$223.87 / $549.54 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $223.87 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $524.81 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $912.01 / $1,230.27