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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
$18,197.01 / $18,197.01 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $15,848.93 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $33,884.42 / $74,131.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93