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Virginia 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 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $74.13 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $204.17 / $645.65