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Arizona rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,094.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.92 / $857.92 / $3,286.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.92 / $730.58 / $913.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.50 / $946.13 / $1,681.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.80 / $1,146.57 / $20,065.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.36 / $884.58 / $5,835.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.00 / $13,773.00 / $27,762.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.20 / $843.60 / $1,509.04