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Iowa rates for HCPCS C2634

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $104.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $199.98 / $199.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.50 / $279.41 / $434.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.26 / $284.97 / $392.44