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Pennsylvania rates for HCPCS C1717

Brachytherapy source, nonstranded, high dose rate iridium-192, per source

Facilitymedian $676 · 10th–90th $224–$1,6980%10%10th90th$676Professionalmedian $224 · 10th–90th $224–$4370%50%90th$224$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $676.08 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $436.52
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $14,125.38 / $36,307.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $891.25 / $2,041.74
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $6,025.60 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $416.87 / $1,698.24
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $331.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,023.29 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $38,018.94