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Oklahoma rates for HCPCS 55874

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

Facilitymedian $6,607 · 10th–90th $912–$22,3870%5%10th90th$6,607Professionalmedian $2,884 · 10th–90th $170–$4,4670%10%10th90th$2,884$100.0$500.0$2.0K$10.0K$50.0K

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
$630.96 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $2,691.53 / $4,466.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $17,782.79 / $28,183.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $2,884.03 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $3,630.78 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,981.07 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,079.46 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $2,187.76 / $4,786.30