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New York rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $13.86 / $3,762.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $27.73 / $32.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $3.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.47 / $154.91 / $159.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $32.47 / $32.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $32.47 / $32.47