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Nebraska rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.03 / $4,205.08 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.77 / $140.80 / $533.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,449.64 / $4,675.14 / $8,776.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.09 / $189.88 / $287.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.97 / $311.42 / $412.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.56 / $239.36 / $2,025.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.37 / $327.14 / $762.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.97 / $312.85 / $1,683.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.19 / $275.91 / $398.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $238.00 / $394.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.27 / $321.70 / $363.69