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Indiana rates for HCPCS C1719

Brachytherapy source, nonstranded, nonhigh 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.09 / $1,366.09 / $1,366.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.85 / $733.85 / $733.85