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Washington 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 / $89.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.53 / $301.20 / $561.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.56 / $261.56 / $261.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.37 / $268.74 / $801.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.72 / $248.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.24 / $290.25 / $554.78