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Maine 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 / $304.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.84 / $162.84 / $162.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $304.11