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California rates for HCPCS C2643

Brachytherapy source, nonstranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.93 / $72.93 / $275.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $72.93 / $275.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.01 / $126.83 / $250.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $482.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $111.54 / $292.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00