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Nationwide rates for HCPCS C2634

Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source

Facilitymedian $282 · 10th–90th $105–$2,6920%20%10th90th$282Professionalmedian $105 · 10th–90th $105–$2140%50%90th$105$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $575.44 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $169.82 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $38,018.94

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