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Arizona rates for HCPCS C2644

Brachytherapy source, cesium-131 chloride solution, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $35.48 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $61.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $204.17 / $389.05