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Illinois rates for HCPCS C2635

Brachytherapy Source Non-Stranded High Activity Paladium-103 Greater Than 2.2 Mci (Nist) Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $51.12 / $51.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $51.12 / $51.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.61 / $101.24 / $128.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $55.50 / $55.50