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Minnesota rates for HCPCS 55876

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $4,168.69 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,786.30 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $407.38 / $645.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,071.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $288.40 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $257.04 / $501.19