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Indiana rates for HCPCS C2634

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.22 / $104.22 / $104.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $212.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.07 / $394.07 / $394.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.69 / $211.69 / $211.69