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Arizona rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.63 / $4,756.50 / $6,115.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $62.58 / $65.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $93.63 / $153.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $30.40 / $60.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $65.91 / $100.00