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Maine rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $48.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $6.68 / $6.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $48.41