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Arkansas rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.31 / $1,494.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.21 / $1,005.71 / $1,005.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.65 / $1,043.80 / $1,043.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.03 / $3,653.03 / $3,653.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.70 / $1,287.66 / $1,466.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,709.00 / $7,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.49 / $838.90 / $1,481.55