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Michigan rates for HCPCS C2616

Brachytherapy Source Non-Stranded Yttrium-90 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $16,613.00 / $38,041.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,497.00 / $15,821.91 / $19,968.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $16,613.00 / $42,648.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $15,821.91 / $15,821.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00