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Arizona rates for HCPCS C1719

Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $48.17 / $216.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.71 / $109.03 / $172.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $26.40 / $52.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $216.80 / $310.02