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Wisconsin rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Facilitymedian $72 · 10th–90th $27–$1050%20%40%10th90th$72Professionalmedian $27 · 10th–90th $27–$350%50%90th$27$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $72.44 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $34.67
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $27.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $70.79 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $95.50 / $125.89