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Texas 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
$91.96 / $244.11 / $423.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $19.27 / $42.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $19.27 / $42.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $13.34 / $18.01