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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
$27.73 / $27.73 / $52.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $35.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.50 / $2,119.07 / $3,372.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $29.12 / $82.50