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Pennsylvania 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 / $132.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $304.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.16 / $220.16 / $220.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.22 / $132.36 / $330.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $304.11