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Louisiana rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.89 / $1,300.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $160.93 / $225.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.35 / $1,303.61 / $2,992.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.87 / $188.30 / $253.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.15 / $838.15 / $838.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.33 / $164.36 / $229.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.61 / $177.11 / $292.06