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Virginia rates for HCPCS C2634

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

Facilitymedian $105 · 10th–90th $105–$1780%50%90th$105Professionalmedian $105 · 10th–90th $105–$3020%50%90th$105$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $158.49 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $302.00 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $38,018.94