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Michigan rates for HCPCS 55874

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

Facilitymedian $3,631 · 10th–90th $214–$9,5500%10%10th90th$3,631Professionalmedian $2,818 · 10th–90th $158–$5,2480%5%10%10th90th$2,818$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,548.13 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $2,818.38 / $5,248.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $524.81 / $4,365.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,801.89 / $9,772.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $3,548.13 / $5,495.41
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $229.09 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,511.38 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $2,818.38 / $5,248.07