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Rhode Island rates for HCPCS C2634

Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $263.03 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78