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Utah rates for HCPCS C2636

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

Facilitymedian $105 · 10th–90th $76–$1580%20%10th90th$105Professionalmedian $14 · 10th–90th $14–$140%50%100%$14$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $158.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13