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Illinois 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
$45.76 / $45.76 / $45.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $45.76 / $216.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.48 / $823.83 / $1,041.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00