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Oregon rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.65 / $144.65 / $144.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $139.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $15.56 / $31.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $106.88 / $106.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.19 / $194.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $17.92 / $31.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.63 / $299.35 / $358.95