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Utah 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
$604.41 / $604.41 / $604.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.12 / $604.41 / $604.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.33 / $117.67 / $171.48