go back

Missouri 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
$154.11 / $1,704.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.68 / $148.31 / $350.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $142.94 / $258.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.38 / $191.93 / $316.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.96 / $200.77 / $2,413.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $319.06 / $1,130.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,389.00 / $17,638.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.84 / $180.16 / $418.19