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Washington, DC rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.51 / $1,512.00 / $3,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.55 / $180.33 / $290.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.74 / $124.73 / $2,116.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.52 / $162.66 / $442.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.43 / $350.86 / $350.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.35 / $174.64 / $455.95