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Pennsylvania rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $18.82
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $18.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $139.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77