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Ohio 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
$221.25 / $628.50 / $1,043.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.73 / $309.50 / $309.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $488.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $358.01 / $560.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00