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Oklahoma 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 / $195.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $212.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.50 / $2,119.07 / $3,372.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $104.22 / $343.33