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Delaware 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
$792.88 / $7,492.54 / $47,719.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.17 / $726.24 / $797.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.95 / $944.42 / $1,368.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.02 / $891.91 / $1,753.83