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Oklahoma rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.20 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $53.70 / $93.33