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North Dakota 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
$172.82 / $172.82 / $172.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.82 / $226.22 / $226.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.39 / $344.10 / $353.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.82 / $224.67 / $402.94