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Mississippi rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $950.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $144.40 / $269.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.38 / $116.38 / $128.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $278.00 / $278.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.30 / $995.30 / $1,805.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.58 / $184.53 / $282.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.33 / $169.50 / $345.14