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Washington rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $26,106.15 / $69,214.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $15,821.91 / $18,228.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,713.25 / $53,058.07 / $98,838.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,401.37 / $42,401.37 / $42,401.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,763.21 / $52,160.11 / $151,045.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,616.93 / $43,630.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,279.26 / $51,089.58 / $97,728.60