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Washington 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 / $3.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $43.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.80 / $228.15 / $425.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.44 / $193.44 / $193.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.56 / $119.56 / $119.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $239.89 / $598.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $188.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.30 / $219.56 / $420.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.76 / $295.89 / $465.01