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Iowa rates for HCPCS 55874

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

Facilitymedian $4,169 · 10th–90th $339–$10,7150%10%10th90th$4,169Professionalmedian $3,715 · 10th–90th $182–$7,5860%10%10th90th$3,715$10.0$50.0$200.0$1.0K$5.0K$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
$331.13 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $3,715.35 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $467.74 / $8,317.64
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $3,981.07 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $7,244.36 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $6,025.60 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $6,165.95 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $549.54 / $8,511.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5,623.41 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $10,964.78 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $2,818.38 / $8,511.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $363.08 / $6,025.60