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South Carolina rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.99 / $208.30 / $415.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.96 / $121.96 / $121.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $16.30 / $24.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.78 / $156.78 / $156.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00