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Wyoming 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
Professional
Modifier
Low / Median / High Price
$91.20 / $144.54 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $446.68