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Pennsylvania rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Facilitymedian $501 · 10th–90th $27–$10,0000%20%10th90th$501Professionalmedian $27 · 10th–90th $13–$450%50%10th90th$27$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $501.19 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $120.23
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $87.10 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $34.67
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $38,018.94