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Washington 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 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $263.03 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $194.98 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $229.09 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $323.59 / $588.84