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Washington, DC rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $3,636.41 / $6,589.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.91 / $180.04 / $8,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $550.95 / $9,503.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,983.11 / $6,845.22 / $6,845.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.51 / $4,925.52 / $8,895.35