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Virginia 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 / $29.70 / $3,382.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $27.73 / $29.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $6.68 / $6.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $40.21 / $51.91