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Maine rates for HCPCS C2642

Brachytherapy source, stranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $84.27 / $89.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $6.68 / $6.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $107.86 / $107.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $84.27 / $89.28