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North Carolina 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
$224.39 / $4,311.00 / $18,380.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.28 / $2,860.80 / $6,179.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.14 / $3,360.94 / $8,523.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.51 / $3,214.53 / $7,770.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.28 / $2,860.80 / $5,551.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,951.39 / $4,951.39 / $7,699.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5,082.00 / $8,256.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,143.04 / $4,466.72 / $8,971.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,121.88 / $1,121.88
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,269.87 / $19,541.36 / $23,097.38