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Delaware rates for HCPCS 55876

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.18 / $354.63 / $7,205.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.68 / $132.37 / $152.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $151.22 / $226.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.24 / $1,159.24 / $1,420.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.02 / $182.23 / $329.55