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Alaska rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $32.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $32.36 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $38.02 / $39.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26