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Massachusetts rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.00 / $2,079.00 / $4,088.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.25 / $148.69 / $304.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.11 / $2,329.00 / $4,755.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.16 / $258.33 / $1,082.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.04 / $154.75 / $273.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.60 / $237.60 / $356.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.49 / $262.49 / $523.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.47 / $214.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.37 / $178.40 / $276.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $277.52 / $406.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.11 / $1,495.87 / $4,320.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $163.88 / $352.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,376.00 / $8,498.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.39 / $441.69 / $1,082.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.89 / $258.33 / $530.03