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South Carolina 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
$86.10 / $240.38 / $583.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.88 / $987.88 / $987.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $50.34 / $65.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.19 / $360.19 / $360.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00