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Utah 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
$308.47 / $432.40 / $5,294.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $432.40 / $432.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.52 / $699.16 / $1,006.24