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Montana 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 / $27.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96