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Wyoming 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
Professional
Modifier
Low / Median / High Price
$164.17 / $164.17 / $3,074.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $431.00 / $7,534.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.54 / $389.98 / $8,519.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,225.39 / $9,429.12 / $13,923.37