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Colorado 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
$1,148.15 / $5,623.41 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $2,290.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $11,748.98 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $3,090.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $12,882.50 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,905.46