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Massachusetts rates for HCPCS C2641

Brachytherapy Source Non-Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.50 / $112.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.06 / $188.06 / $818.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $79.77 / $99.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.35 / $202.58 / $301.48