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Massachusetts rates for HCPCS C2642

Brachytherapy Source Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.27 / $84.27 / $84.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $88.00 / $101.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $818.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $107.86 / $110.45
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,408.64 / $23,408.64 / $24,140.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00