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Florida 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
$988.00 / $4,773.26 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.10 / $2,695.63 / $4,343.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.67 / $2,372.98 / $2,372.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $3,891.14 / $4,632.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $490.83 / $5,408.67
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.51 / $1,873.41 / $3,807.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.03 / $2,964.21 / $4,055.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.00 / $12,923.00 / $19,866.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.71 / $3,948.95 / $6,372.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $2,257.96 / $2,257.96