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Massachusetts 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
$1,015.00 / $2,733.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.30 / $895.75 / $3,007.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.90 / $5,097.00 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.85 / $1,510.55 / $5,740.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.67 / $1,821.67 / $1,821.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.35 / $1,562.71 / $2,881.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,248.10 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.70 / $893.17 / $1,439.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.25 / $1,927.09 / $2,784.42
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,561.12 / $3,561.12 / $3,900.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.73 / $2,308.73 / $2,308.73
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.36 / $1,664.14 / $5,740.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $29,715.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.36 / $1,304.04 / $2,923.64