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Indiana rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $128.82 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18