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Oregon rates for HCPCS C2645

Brachytherapy planar source, palladium-103, per sq mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $12.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.79 / $16.79 / $19.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $14.26 / $17.62