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North Dakota rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,126.71 / $14,126.71 / $14,126.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $15,821.91 / $15,821.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,177.00 / $17,485.09 / $17,616.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $26,179.13 / $32,723.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,126.71 / $15,821.91 / $26,897.25