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Utah rates for HCPCS C2636

Brachytherapy linear source, nonstranded, palladium-103, per 1 mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.91 / $107.56 / $156.75