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North Dakota rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.68 / $146.79 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $135.28 / $160.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.86 / $261.24 / $375.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.44 / $251.48 / $465.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.68 / $146.79 / $440.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.13 / $269.29 / $383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $272.64 / $383.00