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Iowa rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $135.91 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.82 / $125.71 / $186.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.54 / $125.71 / $167.95