State-Specific Services codes C1716 to C1719 with Medicaid rates by state
3 state-specific services codes from C1716 to C1719 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.
Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
11
$675.45
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.