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Tennessee rates for HCPCS 55876

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.73 / $2,011.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.88 / $144.40 / $242.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,181.00 / $3,004.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $152.35 / $268.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.77 / $174.34 / $277.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $509.63 / $509.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.16 / $1,082.16 / $1,242.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $201.43 / $315.13