go back

Idaho rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $65.91 / $65.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $65.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $27.78 / $35.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.05 / $103.84 / $132.86