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Michigan rates for HCPCS C2643

Brachytherapy source, nonstranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $295.12 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $100.00 / $316.23