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New Jersey rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $160.97 / $187.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.87 / $278.22 / $335.48