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Oklahoma 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
$51.29 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $51.29 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $53.70 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $154.88 / $269.15