| 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, nonstranded, 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 |