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Oregon 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 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $213.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $47.86 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $47.86 / $112.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $891.25 / $891.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $47.86 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $4,365.16