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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
$13.00 / $13.00 / $13.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $14.82 / $139.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.80 / $205.80 / $818.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $69.69 / $120.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00