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Vermont rates for HCPCS C1717

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.40 / $432.40 / $432.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $348.00