go back

Vermont rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $158.84 / $548.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.66 / $177.66 / $209.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $186.92 / $549.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.55 / $227.96 / $549.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.26 / $207.30 / $674.82