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Maine rates for HCPCS C2641

Brachytherapy Source Non-Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $76.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $6.68 / $6.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $79.77 / $79.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $76.29