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Indiana rates for HCPCS C2638

Brachytherapy Source Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $27.78 / $27.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $27.78 / $65.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.64 / $89.64 / $89.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.15 / $48.15 / $48.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96