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Massachusetts rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4,217.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $27.78 / $46.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.58 / $88.58 / $818.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.13 / $72.98 / $123.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $37.04 / $49.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00