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Idaho rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.65 / $144.65 / $144.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $144.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $18.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.41 / $214.09 / $295.58