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Massachusetts rates for HCPCS C2643

Brachytherapy source, nonstranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.55 / $61.55 / $61.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $275.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.29 / $189.29 / $818.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $96.56 / $137.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,291.84 / $3,291.84 / $3,291.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00