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Nebraska 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
$64.57 / $64.57 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,511.38 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $120.23 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $125.89 / $165.96