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Mississippi rates for HCPCS C2634

Brachytherapy Source Non-Stranded 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 / $104.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.05 / $203.59 / $203.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.41 / $195.41 / $195.41