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Michigan 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
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $9.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $65.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $7.84 / $13.20