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Utah rates for HCPCS C2642

Brachytherapy Source Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $89.28 / $89.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.81 / $194.04 / $282.77