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Oregon rates for HCPCS C2636

Brachytherapy Linear Source Non-Stranded Paladium-103 Per 1 Mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.24 / $53.24 / $53.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $34.29 / $34.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.05 / $137.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.44 / $0.77
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
$91.27 / $157.96 / $212.36