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Indiana 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 / $27.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $27.73 / $35.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $84.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.64 / $45.64 / $45.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61