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Utah 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
$27.78 / $46.63 / $46.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.86 / $83.14 / $121.16