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New Jersey rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.63 / $46.63 / $46.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $41.30 / $62.58
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.75 / $80.27 / $165.82