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Oregon rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $35.92 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $27.73 / $32.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $29.12 / $59.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.06 / $64.06 / $64.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.95 / $89.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $33.54 / $59.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.32 / $126.41 / $147.24