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Idaho rates for HCPCS C2643

Brachytherapy Source Non-Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.81 / $159.81 / $159.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $159.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $81.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.69 / $221.90 / $271.87