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Louisiana rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $91.20 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $53.70 / $95.50