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Connecticut rates for HCPCS 55874

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

Facilitymedian $5,012 · 10th–90th $2,291–$9,5500%5%10%10th90th$5,012Professionalmedian $724 · 10th–90th $158–$6,4570%5%10th90th$724$100.0$500.0$2.0K$10.0K

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
$2,290.87 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $549.54 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $2,398.83 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $478.63 / $7,413.10
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,220.18 / $20,892.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $2,951.21 / $6,309.57