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
Oklahoma
Hospital Address Code Price Last Updated
St. John Medical Center 1923 S Utica Ave, Tulsa C1717 $267 [source] 3 years ago
St John Sapulpa, Inc. 1004 E Bryan Ave, Sapulpa C1717 $646 [source] 3 years ago

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.