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Oklahoma rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.22 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $128.82 / $223.87