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Minnesota rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $27.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $27.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.99 / $35.31 / $1,865.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $30.60 / $90.97