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Iowa rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.84 / $111.84 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $136.87 / $212.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.66 / $139.60 / $192.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.79 / $168.18 / $204.86