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South Dakota 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 / $65.91 / $65.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $111.39 / $180.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.56 / $55.56 / $64.81