| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Medcost
| Facility | $104.22 | $150.08 | $190.72 |
Brachytherapy Source Non-Stranded High Activity Iodine-125 Greater Than 1.01 Mci (Nist) Per Source.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Medcost
| Facility | $104.22 | $150.08 | $190.72 |