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Utah 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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30