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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
$948.00 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.33 / $2,695.63 / $5,388.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.18 / $250.18 / $5,027.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.57 / $3,176.85 / $6,393.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.55 / $2,690.00 / $8,919.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,381.16 / $5,381.90 / $20,949.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,170.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,018.89 / $4,184.79 / $6,362.61