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Pennsylvania 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 / $12,501.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $46.63
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $59.70 / $214.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $35.28 / $12,501.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $27.78 / $46.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96