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Arizona rates for HCPCS 55875

Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,466.84 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $3,311.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $21,877.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,244.36 / $22,387.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,513.56