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California rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.63 / $46.63 / $62.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $46.63 / $62.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $35.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.98 / $87.17 / $114.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $185.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $59.73 / $89.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96