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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

Facilitymedian $3,715 · 10th–90th $191–$13,4900%5%10%10th90th$3,715Professionalmedian $2,818 · 10th–90th $166–$7,2440%5%10th90th$2,818$50.0$200.0$1.0K$5.0K$20.0K

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
$190.55 / $3,715.35 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $2,818.38 / $7,079.46
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $426.58 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $562.34 / $6,918.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $2,137.96 / $4,897.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $14,791.08 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $2,187.76 / $6,456.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $23,988.33 / $23,988.33
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $22,908.68 / $22,908.68