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New Mexico rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.80 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $144.40 / $334.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,247.63 / $5,322.93 / $9,033.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $163.74 / $254.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $179.61 / $250.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $127.92 / $224.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.97 / $219.38 / $228.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $179.61 / $254.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $3,085.00 / $4,616.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.30 / $227.40 / $312.05