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Pennsylvania 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 / $7,617.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $88.00 / $89.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.09 / $624.09 / $624.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $111.76 / $7,617.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $88.00 / $111.76