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Oregon 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
$51.12 / $51.12 / $604.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $51.12 / $109.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $50.62 / $50.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.13 / $150.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $61.83 / $109.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.38 / $174.66 / $232.93