2021 HCPCS	2021 Short Description	2021 Days	2021 Units	2021 Total Cost	2021 Minimum Unit Cost	2021 Maximum Unit Cost	2021 Arithmetic Mean Unit Cost	2021 Geometric Mean Unit Cost	2021 Geometric Mean Day Cost	2021 Median Unit Cost	2021 Median Day Cost	2021 CV (%) of Unit Cost	Final CY 2023 XRef HCPCS/CPT Code(s)	Final CY 2023 XRef SI	Final CY 2023  XRef APC	Final CY 2023 Payment Rate
A9527	Iodine i-125 sodium iodide	10	13	5096.68	62.96	2632.64	392.05	167.11	230.39	116.06	169.7	219.253	A9527	U	2632	$43.13
C1716	"Brachytx, non-str, gold-198"	141	223	176708.43	1.66	24143.16	792.41	237.3	366.29	278.77	307.64	306.012	C1716	U	2645	$230.75
C1717	"Brachytx, non-str,hdr ir-192"	19163	19163	8986470.68	34.28	3200.5	468.95	345.23	345.23	332.9	332.9	91.872	C1717	U	2646	$335.71
C1719	"Brachytx, ns, non-hdrir-192"	14	14	14877.35	28.78	4010.18	1062.67	144.37	144.37	41.8	41.8	161.776	C1719	U	2647	$345.84
C2616	"Brachytx, non-str,yttrium-90"	4832	4832	97758286.15	3458.29	86127.68	20231.43	18109.05	18109.05	19151.55	19151.55	49.325	C2616	U	2616	"$17,609.76"
C2634	"Brachytx, non-str, ha, i-125"	229	3765	961053.77	7.65	3979.86	255.26	187.15	2628.95	208.14	3236.38	430.296	C2634	U	2634	$182.00
C2635	"Brachytx, non-str, ha, p-103"	26	259	34619.26	89.96	159.46	133.67	130.24	618.29	159.46	848.46	70.014	C2635	U	2635	$50.66
C2636	"Brachy linear, non-str,p-103"	.	.	.	.	.	.	.	.	.	.	.	C2636	U	2636	$51.91
C2638	"Brachytx, stranded, i-125"	1671	41855	2111386.49	6.84	4018.29	50.45	39.22	271.34	49.29	115.93	524.856	C2638	U	2638	$38.15
C2639	"Brachytx, non-stranded,i-125"	1083	57125	2775089.44	1.1	6476.52	48.58	36.32	1007.06	35.98	1501.28	799.105	C2639	U	2639	$35.31
C2640	"Brachytx, stranded, p-103"	181	14109	1710568.27	24.44	998.73	121.24	91.14	6764.25	82.8	6722.83	1158.328	C2640	U	2640	$88.63
C2641	"Brachytx, non-stranded,p-103"	308	24743	2426983.01	27.34	998.73	98.09	83.29	5648.19	68.26	6263.26	635.423	C2641	U	2641	$80.99
C2642	"Brachytx, stranded, c-131"	108	7215	927462.43	42.69	585.65	128.55	93.31	5550.3	85.58	5163.44	881.589	C2642	U	2642	$90.73
C2643	"Brachytx, non-stranded,c-131"	290	14264	1355797.37	30.63	635.47	95.05	83.83	3308.86	86.71	3991.2	354.8	C2643	U	2643	$81.52
C2645	"Brachytx planar, p-103"	1	4608	5621.76	1.22	1.22	1.22	1.22	5621.76	1.22	5621.76	.	C2645	U	2648	$4.69
C2698	"Brachytx, stranded, nos"	45	49	60369.03	42.1	3877.8	1232.02	688.85	803.81	1370.24	1370.24	81.984	C2698	U	2698	$38.15
C2699	"Brachytx, non-stranded, nos"	16	20	21535.71	25.81	5704.77	1076.79	167.21	182.43	42.85	55.76	184.729	C2699	U	2699	$35.31
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
																
