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West 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
$248.84 / $760.28 / $980.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.22 / $226.22 / $226.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.75 / $801.75 / $801.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $348.00 / $443.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.97 / $1,384.69 / $1,513.34