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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
$14.82 / $14.82 / $21,730.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $72.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $235.34 / $438.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.00 / $169.00 / $169.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.59 / $262.52 / $669.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.00 / $194.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.10 / $226.61 / $433.48