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Oregon rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $65.91 / $65.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $37.52 / $62.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $29.17 / $59.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.22 / $75.22 / $75.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $106.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $33.60 / $59.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.38 / $136.58 / $173.67