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New Jersey rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.65 / $72.65 / $4,375.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $63.74 / $139.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.40 / $151.02 / $311.98