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Texas 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 / $9,889.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.02 / $196.37 / $339.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $4.47 / $9.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.96 / $9.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.33 / $126.14 / $166.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $13.34 / $18.01