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Vermont rates for HCPCS C1717

Brachytherapy source, nonstranded, high dose rate iridium-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