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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
$1,621.81 / $4,786.30 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,949.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $295.12 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,187.76 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,073.80 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,318.26