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Washington rates for HCPCS C2645

Brachytherapy Planar Source Palladium-103 Per Square Millimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $13.95 / $26.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $11.37 / $11.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $13.89 / $42.91
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $12.90 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $13.95 / $26.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.33 / $17.39 / $27.34