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California rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.75 / $139.75 / $10,711.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $139.75 / $139.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $123.15 / $222.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $418.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $139.75 / $200.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77