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Massachusetts rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $144.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $229.09 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $229.09 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $190.55 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13