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Utah rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,228.47 / $18,228.47 / $18,228.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $18,228.47 / $18,228.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,826.76 / $34,697.56 / $49,813.33