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Missouri 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 / $483.50 / $1,934.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $27.73 / $27.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $41.37 / $100.00