go back

Massachusetts rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,173.00 / $4,236.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.24 / $3,520.57 / $7,307.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.27 / $4,254.00 / $13,017.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.94 / $4,785.91 / $14,153.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.63 / $245.22 / $481.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.26 / $376.51 / $6,893.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.39 / $857.69 / $10,397.66
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.86 / $257.97 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.16 / $3,451.15 / $5,180.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.14 / $3,350.12 / $7,420.52
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.87 / $6,347.03 / $10,797.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.50 / $259.16 / $513.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $14,018.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,350.96 / $7,906.16 / $19,541.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,771.65 / $6,098.66 / $12,274.48