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Maine rates for HCPCS C2643

Brachytherapy Source Non-Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $61.55 / $275.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $6.68 / $6.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $96.56 / $96.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $61.55 / $275.66