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Kansas 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
$489.78 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $2,754.23 / $5,370.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $141.25 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,309.57 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $446.68 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $3,311.31 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,677.35 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,623.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $2,691.53 / $5,128.61