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Utah rates for HCPCS C2639

Brachytherapy Source Non-Stranded Iodine-125 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.23 / $63.23 / $63.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $63.23 / $63.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $70.59 / $101.36