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Nebraska 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 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $6.61 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $81.28 / $107.15