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Wisconsin 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
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $53.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $135.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36