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North Dakota 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 / $64.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $96.56 / $97.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.55 / $61.55 / $108.80