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Iowa rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.03 / $3,576.15 / $6,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.03 / $158.84 / $334.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.97 / $291.30 / $429.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.17 / $181.18 / $442.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.79 / $313.16 / $4,112.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.37 / $327.14 / $1,130.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.97 / $312.85 / $1,794.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.58 / $269.42 / $405.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $241.90 / $394.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $286.01 / $451.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $227.70 / $331.50