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Maine 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
$44.67 / $44.67 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01