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Arkansas rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.41 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.03 / $135.28 / $193.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,363.51 / $1,363.51 / $1,636.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $151.56 / $201.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.27 / $1,388.27 / $1,388.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $187.83 / $263.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.79 / $154.63 / $283.49