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Massachusetts rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $7,802.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $13.86 / $48.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.99 / $81.99 / $818.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.36 / $70.19 / $118.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $47.22 / $52.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $51.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11