C1717 Medicaid Rate by State

Brachytherapy source, non-stranded, high dose rate iridium-192, per source

12 state Medicaid programs publish a fee-for-service rate for C1717 (brachytherapy source, non-stranded, high dose rate iridium-192, per source), ranging from $186.22 in Utah to $357.49 in Kentucky.

Every state, kept current

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This page shows one representative rate per state for C1717. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

12

Median % of Medicare

--

Rate range

$186.22 - $357.49

C1717 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$339.62*----2026
Arizona$325.27----2026
Idaho$278.23--Not required2025
Kentucky$357.49----2026
Michigan$186.97----2026
Missouri$315.42--Not required2026
Mississippi$265.73----2026
Montana$357.49----2026
New Mexico$231.38----2026
Oklahoma$318.37----2026
Utah$186.22*--Not required2026
West Virginia$321.74----2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related state-specific services codes

All 3 codes from C1716 to C1719 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for C1717?

12 state Medicaid programs publish a fee-for-service rate for C1717 (brachytherapy source, non-stranded, high dose rate iridium-192, per source), ranging from $186.22 in Utah to $357.49 in Kentucky. The full table on this page lists every publishing state's current rate.

Which state pays the most for C1717?

Kentucky publishes the highest Medicaid rate for C1717 at $357.49. Utah publishes the lowest at $186.22.

Does C1717 require prior authorization under Medicaid?

No publishing state flags C1717 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.