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North Dakota rates for HCPCS C2639

Brachytherapy source, nonstranded, 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
$34.95 / $35.29 / $35.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $47.14