go back

South Carolina rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.15 / $3,626.63 / $13,594.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.44 / $2,860.80 / $5,786.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.93 / $3,822.28 / $11,639.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.60 / $241.96 / $3,359.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,967.06 / $4,967.06 / $6,382.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.62 / $462.82 / $6,077.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.30 / $3,513.42 / $6,588.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.42 / $4,394.66 / $4,741.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.62 / $2,999.11 / $4,671.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,858.15 / $4,289.53 / $7,514.62