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Texas rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $257.04 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $19.05 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $63.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $134.90 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49