| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.22 | $212.83 | $304.11 | |
BCBS
| Facility | $40.06 | $152.15 | $241.03 | |
BCBS
| Professional | $46.64 | $47.84 | $95.38 | |
Medica
| Facility | $104.22 | $212.83 | $304.35 |
Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.22 | $212.83 | $304.11 | |
BCBS
| Facility | $40.06 | $152.15 | $241.03 | |
BCBS
| Professional | $46.64 | $47.84 | $95.38 | |
Medica
| Facility | $104.22 | $212.83 | $304.35 |