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Oregon 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 / $43.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $7.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.14 / $101.14 / $101.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.86 / $188.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $4.16 / $7.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $284.27 / $307.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.48 / $242.48 / $299.60