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Arizona rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $94.71 / $94.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $27.73 / $35.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.46 / $96.68 / $153.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $30.40 / $60.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $35.92 / $76.01