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Wisconsin rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $30,199.52 / $47,863.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $15,848.93 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $74,131.02 / $117,489.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $30,902.95 / $35,481.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $15,848.93 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $15,848.93 / $44,668.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,703.96 / $25,703.96 / $25,703.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $46,773.51 / $61,659.50