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Utah rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.75 / $139.75 / $139.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $139.75 / $139.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.43 / $158.47 / $220.95