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Minnesota 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 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $46.77 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $125.89