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New Jersey rates for HCPCS C2643

Brachytherapy Source Non-Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.66 / $275.66 / $275.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $64.00 / $275.66
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.87 / $209.25 / $409.66