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Missouri rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $5.13 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $199.53