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Washington 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 / $275.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.72 / $248.13 / $462.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.16 / $234.16 / $234.16
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.03 / $241.46 / $541.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.84 / $204.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.34 / $238.93 / $457.04