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Utah rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Facilitymedian $138 · 10th–90th $100–$1700%50%10th90th$138Professionalmedian $14 · 10th–90th $13–$1380%50%10th90th$14$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $144.54 / $208.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18