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Missouri 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 / $399.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $62.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $41.44 / $100.00