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Oklahoma rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $6.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.50 / $2,119.07 / $3,372.21
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 / $3.61 / $168.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.17 / $168.18 / $199.50