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Maine rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.80 / $3.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31