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Oklahoma 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
$223.87 / $616.60 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $524.81 / $912.01