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Delaware rates for HCPCS 55874

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.15 / $3,140.00 / $7,103.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.66 / $2,750.24 / $3,699.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.56 / $305.57 / $5,439.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.93 / $2,318.48 / $23,971.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.06 / $4,806.47 / $6,937.67