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Idaho rates for HCPCS C2635

Brachytherapy source, nonstranded, high activity, palladium-103, greater than 2.2 mCi (NIST), per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.81 / $49.81 / $49.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $51.12 / $51.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $51.12 / $65.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.59 / $137.90 / $188.03