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South Carolina rates for HCPCS C1717

Brachytherapy Source Non-Stranded High Dose Rateiridum-192 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $765.25 / $1,284.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $226.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.70 / $664.58 / $1,286.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.17 / $599.17 / $599.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.22 / $248.84 / $366.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.01 / $598.01 / $598.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00