| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
BCBS
| Facility | $162.84 | $162.84 | $244.26 |
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
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
BCBS
| Facility | $162.84 | $162.84 | $244.26 |