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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
$64.00 / $64.00 / $64.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.36 / $8,583.94 / $16,604.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.60 / $120.20 / $160.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.54 / $159.32 / $232.71