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Virginia 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 / $3,526.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $6.68 / $6.68
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 / $4.92 / $6.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $155.66 / $371.99