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Georgia rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.43 / $2,572.00 / $6,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.69 / $155.13 / $270.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.71 / $88.71 / $88.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $3,058.60 / $10,479.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.31 / $189.68 / $317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.30 / $1,215.30 / $1,215.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.86 / $212.06 / $349.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.87 / $174.05 / $408.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $14,884.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.10 / $214.41 / $364.32