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South Carolina 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
$51.12 / $51.12 / $51.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.50 / $120.11 / $290.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.42 / $121.42 / $121.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.12 / $56.23 / $82.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $79.84 / $79.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.50 / $55.50 / $59.45