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Washington, DC rates for HCPCS 55874

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

Facilitymedian $2,754 · 10th–90th $1,023–$4,0740%10%10th90th$2,754Professionalmedian $490 · 10th–90th $178–$4,7860%10%10th90th$490$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$512.86 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $489.78 / $4,786.30
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $5,128.61 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $549.54 / $8,912.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,365.16 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $13,489.63 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $2,691.53 / $8,128.31