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Maryland rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $18.80 / $2,392.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.27 / $156.10 / $418.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.96 / $121.89 / $139.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.52 / $1,014.52 / $1,014.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.26 / $172.67 / $343.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.88 / $198.52 / $340.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $169.48 / $291.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.38 / $176.97 / $219.66