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North Carolina 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
$94.02 / $546.54 / $1,373.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $478.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.75 / $801.75 / $801.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $226.22 / $328.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00