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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
$8.91 / $8.91 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $6.61 / $7.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74
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
$3.72 / $3.72 / $12.30