go back

Maine rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $46.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $37.04 / $37.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $46.63