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New Jersey 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
$304.11 / $304.11 / $304.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $304.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.25 / $352.87 / $735.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00