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Oregon rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.30 / $988.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $150.91 / $387.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.46 / $262.25 / $403.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.91 / $265.36 / $362.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.75 / $243.19 / $358.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.85 / $238.57 / $446.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.23 / $255.36 / $304.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.75 / $274.30 / $387.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.74 / $277.76 / $405.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,510.12 / $4,581.20 / $5,196.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $284.25 / $428.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.48 / $344.65 / $480.88