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Massachusetts 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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $213.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $2,818.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $912.01 / $912.01