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Nebraska rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.36 / $8,583.94 / $16,604.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $28.16 / $116.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.54 / $132.41 / $167.95