go back

Arkansas rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.27 / $1,313.00 / $4,499.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $3,082.01 / $4,499.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.30 / $243.09 / $3,682.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.88 / $368.89 / $5,753.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,555.00 / $8,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.40 / $3,640.41 / $5,826.81