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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
$190.83 / $190.83 / $190.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.78 / $46.18 / $76.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $12.78 / $25.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.83 / $190.83 / $280.52