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Virginia 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
$79.52 / $402.67 / $1,043.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.52 / $226.22 / $226.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.52 / $239.79 / $382.31