go back

Illinois rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $483.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $27.73 / $35.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.82 / $51.24 / $64.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00