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South Carolina 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
$88.00 / $88.00 / $88.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.86 / $292.22 / $640.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.76 / $188.76 / $188.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $96.80 / $125.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $128.40 / $128.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00