Code: C1717

Description:
Description: Brachytherapy source, non-stranded, high dose rate iridium-192, per source
HCPCS Category: Temporary hospital OPPS
Other Descriptions:
HDR IR 192 SOURCE
BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC
PROVISION OF HDR SOURCE
Hc Hdr Ir-192 Source
Brachytx Non-str Hdr Ir-192
Related codes:
Code: c1713
PLATE 42MM TI 2 LVL PRTX
Code: C1714
CTHATHR SLHWK LS-M 7X110
Code: C1715
BRACHYTHERAPY NEEDLE
Code: C1716
BRACHYTX NS GOLD 198
Code: C1718
MESH HRN GRN PP 4.6X3
Code: C1719
Description: Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
HCPCS Category: Temporary hospital OPPS
State Average # Hospitals In Database
Pennsylvania (PA) $330 1
Massachusetts (MA) $333 14
New Mexico (NM) $338 1
Minnesota (MN) $359 6
Hawaii (HI) $386 2
Oklahoma (OK) $457 2
Kansas (KS) $483 3
New Jersey (NJ) $483 2
South Carolina (SC) $500 1
Illinois (IL) $516 1
Indiana (IN) $553 9
Maryland (MD) $569 1
North Carolina (NC) $585 19
Nevada (NV) $595 2
Missouri (MO) $645 3
New York (NY) $679 4
Ohio (OH) $709 5
Nebraska (NE) $721 9
Louisiana (LA) $730 1
Iowa (IA) $825 1
Georgia (GA) $827 5
Idaho (ID) $842 2
Washington (WA) $850 1
District of Columbia (DC) $871 2
Tennessee (TN) $937 2
North Dakota (ND) $947 1
Virginia (VA) $991 3
Connecticut (CT) $1,153 9
Wisconsin (WI) $1,227 8
Rhode Island (RI) $1,286 1
California (CA) $1,353 28
New Hampshire (NH) $1,690 1
Florida (FL) $2,068 29
Michigan (MI) $2,105 117
Texas (TX) $2,804 27
Maine (ME) $2,827 1

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.