go back

New Mexico 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 / $309.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.07 / $1,272.64 / $2,073.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.29 / $192.29 / $192.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00