go back

New Jersey rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $13.86 / $13.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $27.73 / $48.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.42 / $69.73 / $148.94
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $57.50 / $57.50