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Minnesota 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 / $45.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.91 / $564.50 / $2,002.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $77.33 / $1,867.56