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Utah 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 / $1,390.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $304.11 / $304.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.31 / $304.64 / $437.35