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Pennsylvania rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $4.37 / $31,100.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $76.29
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3,428.73 / $31,100.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $63.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.04 / $208.44 / $271.06