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Oregon rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $26.92 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $29.51 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $67.61 / $89.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $43.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $120.23 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $134.90 / $177.83