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Georgia rates for HCPCS 55874

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

Facilitymedian $3,548 · 10th–90th $977–$8,3180%10%10th90th$3,548Professionalmedian $631 · 10th–90th $166–$6,0260%10%10th90th$631$1.0$5.0$20.0$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
$933.25 / $3,388.44 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $501.19 / $5,888.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $239.88 / $5,128.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,365.16 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $2,290.87 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $467.74 / $6,309.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $3,801.89 / $7,079.46
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,606.93 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $7,079.46 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $2,818.38 / $6,456.54