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Indiana rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.04 / $193.04 / $193.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.70 / $103.70 / $103.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56