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Michigan 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
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $138.00 / $190.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $65.00