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Illinois rates for HCPCS C2643

Brachytherapy Source Non-Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $159.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.77 / $140.91 / $178.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00