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Washington, DC 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
$1,017.00 / $4,100.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.27 / $893.27 / $893.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.35 / $935.60 / $6,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.76 / $1,051.51 / $2,626.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.21 / $1,754.77 / $1,754.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,099.00 / $10,819.00 / $28,056.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.01 / $1,644.73 / $2,280.32