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South Carolina rates for HCPCS C2616

Brachytherapy Source Non-Stranded Yttrium-90 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $27,653.74 / $50,839.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $15,821.91 / $15,821.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,524.22 / $43,257.93 / $87,736.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,598.93 / $30,598.93 / $30,598.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $17,404.09 / $25,631.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31,085.62 / $31,085.62 / $31,085.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00