go back

New Hampshire rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.41 / $48.41 / $58.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $48.41 / $48.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $38.82 / $51.24