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Maryland rates for HCPCS 55874

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

Facilitymedian $1,905 · 10th–90th $832–$1,9050%50%10th$1,905Professionalmedian $2,692 · 10th–90th $166–$6,6070%5%10th90th$2,692$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $2,691.53 / $7,079.46
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $173.78 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $524.81 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,570.88 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $2,511.89 / $6,025.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,011.87 / $5,888.44