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Illinois rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $478.63 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $51.29 / $63.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $95.50