2024 HCPCS	2024 Short Description	2024 Days	2024 Lines	2024 Units	2024 Total Cost	2024 Minimum Unit Cost	2024 Maximum Unit Cost	2024 Arithmetic Mean Unit Cost	2024 Geometric Mean Unit Cost	2024 Geometric Mean Day Cost	2024 Median Unit Cost	2024 Median Day Cost	2024 CV (%) of Unit Cost	Proposed CY 2026 XRef HCPCS/CPT Code(s)	Proposed CY 2026 XRef SI	Proposed CY 2026  XRef APC	Proposed CY 2026 Payment Rate
A9527	Iodine i-125 sodium iodide	 1 	 1 	 1 	 520 	 520 	 520 	 520 	 520 	 520 	 520 	 520 	 . 	A9527	U	2632	$401.24
C1716	"Brachytx, non-str, gold-198"	 101 	 103 	 178 	" 242,789 "	 1 	" 12,748 "	" 1,364 "	 488 	 803 	 570 	 887 	 176 	C1716	U	2645	$480.95
C1717	"Brachytx, non-str,hdr ir-192"	" 18,026 "	" 18,026 "	" 18,026 "	" 8,670,411 "	 38 	" 3,642 "	 481 	 364 	 364 	 370 	 370 	 86 	C1717	U	2646	$358.23
C1719	"Brachytx, ns, non-hdrir-192"	 3 	 3 	 3 	 118 	 39 	 39 	 39 	 39 	 39 	 39 	 39 	 -   	C1719	U	2647	$901.63
C2616	"Brachytx, non-str,yttrium-90"	" 4,581 "	" 4,581 "	" 4,581 "	" 92,924,341 "	" 3,274 "	" 86,277 "	" 20,285 "	" 18,284 "	" 18,284 "	" 18,708 "	" 18,708 "	 47 	C2616	U	2616	"$18,003.39"
C2634	"Brachytx, non-str, ha, i-125"	 247 	 268 	" 4,526 "	" 985,694 "	 8 	 682 	 218 	 189 	" 3,121 "	 221 	" 3,536 "	 208 	C2634	U	2634	$186.26
C2635	"Brachytx, non-str, ha, p-103"	 9 	 9 	 120 	" 10,944 "	 47 	 139 	 91 	 89 	 338 	 93 	 139 	 78 	C2635	U	2635	$107.78
C2636	"Brachy linear, non-str,p-103"	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	C2636	U	2636	$88.71
C2638	"Brachytx, stranded, i-125"	" 1,592 "	" 1,592 "	" 20,588 "	" 943,386 "	 0 	" 6,081 "	 46 	 36 	 153 	 29 	 137 	 492 	C2638	U	2638	$34.96
C2639	"Brachytx, non-stranded,i-125"	 752 	 808 	" 33,611 "	" 1,892,034 "	 0 	" 6,177 "	 56 	 38 	 689 	 33 	 836 	 791 	C2639	U	2639	$37.58
C2640	"Brachytx, stranded, p-103"	 167 	 260 	" 11,350 "	" 1,307,074 "	 32 	 810 	 115 	 91 	" 5,608 "	 79 	" 4,992 "	 845 	C2640	U	2640	$89.32
C2641	"Brachytx, non-stranded,p-103"	 224 	 235 	" 15,674 "	" 1,304,267 "	 19 	" 16,793 "	 83 	 70 	" 4,598 "	 66 	" 5,132 "	" 1,784 "	C2641	U	2641	$69.37
C2642	"Brachytx, stranded, c-131"	 45 	 49 	" 2,821 "	" 299,626 "	 40 	 192 	 106 	 102 	" 5,936 "	 96 	" 5,926 "	 234 	C2642	U	2642	$117.92
C2643	"Brachytx, non-stranded,c-131"	 87 	 88 	" 4,953 "	" 626,387 "	 22 	 220 	 126 	 120 	" 4,395 "	 138 	" 7,413 "	 189 	C2643	U	2643	$100.07
C2645	"Brachytx planar, p-103"	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	 . 	C2645	U	2648	$4.69
C2698	"Brachytx, stranded, nos"	 32 	 32 	 32 	" 27,817 "	 31 	" 1,989 "	 869 	 236 	 236 	 81 	 81 	 104 	C2698	U	2698	$34.96
C2699	"Brachytx, non-stranded, nos"	 14 	 14 	 14 	" 22,839 "	 24 	" 4,628 "	" 1,631 "	 242 	 242 	 191 	 191 	 127 	C2699	U	2699	$37.58
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
																	
