go back

Utah rates for HCPCS C2641

Brachytherapy source, nonstranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $134.90 / $346.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07