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Nebraska rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $75.86 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $28.18 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $112.20 / $147.91