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Utah rates for HCPCS C2641

Brachytherapy Source Non-Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.29 / $76.29 / $76.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $76.29 / $76.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.92 / $146.97 / $214.19