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Arizona rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $139.75 / $144.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.84 / $139.91 / $221.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $44.00 / $87.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $144.65 / $206.85