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Utah rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $26.92 / $63.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $66.07 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31