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Florida rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.00 / $2,174.81 / $9,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.60 / $116.49 / $189.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $67.53 / $208.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $958.98 / $1,141.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $155.74 / $262.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.00 / $4,821.00 / $9,360.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.52 / $106.63 / $187.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.71 / $181.28 / $244.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $171.53 / $301.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $114.13 / $114.13