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South Carolina 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 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.84 / $187.46 / $335.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.60 / $139.60 / $139.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.78 / $5.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.16 / $124.16 / $124.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.37 / $388.26 / $511.71