go back

Washington 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
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.37 / $160.76 / $311.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.31 / $128.31 / $128.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $93.98 / $170.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.05 / $137.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.64 / $157.19 / $307.52