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Pennsylvania rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $498.81 / $8,646.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $45.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $47.22 / $47.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.39 / $73.36 / $110.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $498.81 / $10,059.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $27.73 / $45.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $47.22 / $47.22