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Alaska rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $15,821.91 / $15,821.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,625.33 / $22,625.33 / $22,625.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,676.02 / $21,676.02 / $22,625.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50