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New Jersey 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
$300.97 / $618.60 / $1,953.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.73 / $258.79 / $618.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,536.05 / $5,536.05 / $5,536.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.41 / $741.96 / $1,532.78