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Louisiana 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
$3.35 / $4.65 / $5.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $7.47 / $13.10