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Nebraska 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 / $104.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.36 / $8,583.94 / $16,604.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $198.02 / $271.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.26 / $293.11 / $392.44