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California rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,600.00 / $18,228.47 / $60,055.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,147.84 / $15,821.91 / $18,228.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,214.00 / $16,720.00 / $17,084.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,985.01 / $4,985.01 / $9,970.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.50 / $24,203.07 / $44,784.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,388.40 / $13,412.00 / $30,692.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $87,425.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,629.86 / $25,629.86 / $25,629.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,126.71 / $18,228.47 / $26,108.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50