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Pennsylvania rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.90 / $15,821.91 / $46,991.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $15,821.91 / $18,228.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,344.39 / $64,671.37 / $101,170.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,527.00 / $31,327.38 / $57,285.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $15,821.91 / $20,093.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50