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Connecticut rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.19 / $4,280.34 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.84 / $160.90 / $261.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.52 / $238.73 / $331.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.50 / $209.78 / $372.98
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.10 / $247.59 / $247.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.75 / $1,147.75 / $1,147.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,414.00 / $5,950.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $223.45 / $461.21