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Texas 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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $14.62 / $15.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $14.62 / $15.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $7.42 / $9.77