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Illinois rates for HCPCS C2642

Brachytherapy source, stranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $88.00 / $88.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $88.00 / $160.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.55 / $157.41 / $199.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00