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Illinois rates for HCPCS C2645

Brachytherapy planar source, palladium-103, per sq mm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $6.84 / $8.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.03 / $10.55 / $16.36