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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$104.22 / $104.22 / $304.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.57 / $265.74 / $355.30