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Alaska rates for HCPCS 55874

Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $9,285.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.33 / $3,257.17 / $14,042.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.45 / $574.45 / $8,878.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.01 / $1,322.38 / $19,659.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.46 / $1,357.40 / $17,175.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.45 / $1,070.40 / $21,096.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.01 / $1,322.38 / $19,659.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.38 / $2,803.91 / $21,096.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,102.48 / $10,714.84 / $19,676.73