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North Carolina 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 / $8,011.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $104.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.22 / $104.22 / $151.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00