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Idaho rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $35.92 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $35.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $35.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.15 / $95.96 / $117.76