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Nebraska 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 / $226.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $226.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.41 / $650.28 / $1,257.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.60 / $429.82 / $1,422.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.59 / $624.55 / $825.16