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Alabama rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.57 / $927.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.88 / $152.69 / $225.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,331.17 / $2,829.00 / $3,805.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.56 / $166.28 / $220.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.52 / $164.08 / $408.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.60 / $145.13 / $225.98