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Pennsylvania rates for HCPCS C2643

Brachytherapy source, nonstranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $81.28 / $15,538.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $159.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.09 / $172.09 / $558.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $352.30 / $16,863.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $159.81