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Rhode Island rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.58 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.25 / $135.28 / $181.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.38 / $176.26 / $223.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $208.22 / $299.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $207.45 / $357.99