go back

Nebraska 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 / $51.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.41 / $650.28 / $1,257.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.01 / $86.37 / $115.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.56 / $115.30 / $167.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $55.50 / $59.45