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Wisconsin rates for HCPCS C2636

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

Facilitymedian $0 · 10th–90th $0–$2340%50%90th$0Professionalmedian $52 · 10th–90th $52–$710%50%90th$52$0.5$2.0$10.0$50.0$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $234.42 / $309.03