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Illinois rates for HCPCS 55874

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

Facilitymedian $3,236 · 10th–90th $537–$8,5110%5%10th90th$3,236Professionalmedian $2,570 · 10th–90th $166–$5,8880%5%10th90th$2,570$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
$436.52 / $3,235.94 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $1,023.29 / $6,025.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $6,918.31 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $758.58 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $371.54 / $4,786.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $3,801.89 / $8,709.64
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,309.57 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $2,754.23 / $5,754.40