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Kentucky 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
$155.90 / $2,565.87 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.90 / $271.55 / $3,712.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $2,513.21 / $3,693.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.72 / $212.37 / $244.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.44 / $219.95 / $3,606.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.11 / $279.11 / $279.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.72 / $2,500.63 / $6,287.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,184.97 / $4,430.16 / $5,793.87