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Iowa rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $27.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.78 / $61.78 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $60.25 / $93.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.67 / $61.44 / $84.62