go back

Maine rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $139.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $6.68 / $6.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $69.69 / $69.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $139.75