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Nebraska 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
$27.78 / $27.78 / $27.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.41 / $650.28 / $1,257.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $46.11 / $61.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.56 / $70.38 / $89.27