go back

South Carolina 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 / $27.73 / $14,982.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $27.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $94.45 / $206.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $61.44 / $61.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $30.50 / $44.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.94 / $60.94 / $60.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00