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California rates for HCPCS 55874

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

Facilitymedian $4,898 · 10th–90th $1,862$13,8040%10%10th90th$4,898Professionalmedian $3,715 · 10th–90th $166$9,1200%10%10th90th$3,715$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $3,715.35 / $8,128.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $2,691.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $6,309.57 / $12,022.64
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $13,182.57 / $28,183.83
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $2,818.38 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $707.95 / $7,413.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $3,467.37 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $3,630.78 / $7,244.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $22,908.68 / $22,908.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $3,019.95 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $512.86 / $7,079.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $10,471.29
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $4,265.80 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $13,489.63 / $28,840.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $2,454.71 / $6,918.31