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South Carolina 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
$48.42 / $123.44 / $280.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.81 / $64.81 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $30.56 / $45.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $66.83 / $66.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00