State-Specific Services codes C2616 to C2699 with Medicaid rates by state

12 state-specific services codes from C2616 to C2699 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
C2616Brachytherapy source, non-stranded, yttrium-90, per source12$15,802.77
C2634Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source11$154.70
C2635Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source11$79.35
C2636Brachytherapy linear source, non-stranded, palladium-103, per 1 mm11$66.46
C2638Brachytherapy source, stranded, iodine-125, per source11$31.40
C2639Brachytherapy source, non-stranded, iodine-125, per source11$32.63
C2640Brachytherapy source, stranded, palladium-103, per source11$72.23
C2641Brachytherapy source, non-stranded, palladium-103, per source11$57.42
C2642Brachytherapy source, stranded, cesium-131, per source11$105.10
C2643Brachytherapy source, non-stranded, cesium-131, per source11$88.06
C2698Brachytherapy source, stranded, not otherwise specified, per source10$33.30
C2699Brachytherapy source, non-stranded, not otherwise specified, per source10$32.48

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.