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Maryland rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.61 / $1,506.23 / $3,151.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.90 / $1,594.35 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.68 / $1,783.87 / $4,135.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.51 / $1,820.12 / $2,910.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.08 / $1,484.30 / $2,682.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.09 / $1,573.79 / $1,957.41