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Missouri 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
$51.12 / $51.12 / $51.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.12 / $51.12 / $604.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $76.27 / $185.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $55.50 / $59.45