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California rates for HCPCS C1719

Brachytherapy Source Non-Stranded Non-High Dose Rate Iridium-192 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.17 / $48.17 / $48.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $48.17 / $48.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $65.78 / $167.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $2,822.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $54.40 / $54.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $48.17 / $143.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00