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Maine rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $14,126.71 / $18,228.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,985.01 / $4,985.01 / $9,970.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,485.09 / $17,485.09 / $17,485.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $14,126.71 / $18,228.47