go back

Maine 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57