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Kansas 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
$1,700.00 / $4,919.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.24 / $955.02 / $1,468.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $309.29 / $651.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.48 / $1,259.39 / $1,259.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.53 / $1,162.97 / $1,527.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.02 / $1,468.78 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.41 / $995.42 / $5,835.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.00 / $4,916.00 / $12,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.15 / $913.35 / $1,663.76