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Texas 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
$88.22 / $222.46 / $388.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,513.25 / $9,513.25 / $9,513.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $114.40 / $249.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.00 / $114.40 / $249.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $13.34 / $18.01