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Oregon rates for HCPCS 55874

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

Facilitymedian $5,012 · 10th–90th $331–$7,4130%10%20%10th90th$5,012Professionalmedian $3,162 · 10th–90th $166–$7,5860%5%10th90th$3,162$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $3,890.45 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $3,162.28 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $537.03 / $8,128.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $3,715.35 / $9,120.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $3,235.94 / $7,585.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $3,715.35 / $8,128.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,370.32 / $5,888.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $3,019.95 / $7,585.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $446.68 / $7,762.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,595.87 / $20,417.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $19,952.62 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $2,344.23 / $7,762.47