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Kansas rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.40 / $2,690.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $158.69 / $284.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.88 / $165.88 / $229.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.90 / $174.75 / $249.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.29 / $200.02 / $2,303.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.69 / $211.53 / $1,130.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.84 / $168.69 / $309.16