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Colorado rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $1,500.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.00 / $1,479.00 / $3,598.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.34 / $2,363.94 / $3,354.87
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $2,520.00