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Alaska rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $4.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $75.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $4.68 / $4.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26