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Oregon rates for HCPCS C2642

Brachytherapy source, stranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.75 / $160.75 / $160.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $88.00 / $89.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $92.40 / $189.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.49 / $194.49 / $194.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.51 / $248.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $106.44 / $189.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.21 / $295.64 / $405.32