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North Dakota rates for HCPCS C2641

Brachytherapy Source Non-Stranded Palladium-103

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 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.86 / $79.77 / $80.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $5.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.77 / $154.77 / $154.77