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Massachusetts rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $34.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $54.95 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $52.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $77.62 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $36.31 / $36.31