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Colorado rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.25 / $3,121.30 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.03 / $152.22 / $242.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.82 / $187.89 / $295.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.71 / $181.73 / $273.98
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.78 / $180.86 / $246.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.05 / $190.07 / $294.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $232.70 / $377.46