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Maryland rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.04 / $3,477.96 / $5,959.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.94 / $893.27 / $3,146.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.05 / $858.35 / $981.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.71 / $1,049.63 / $2,419.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.86 / $1,042.14 / $1,696.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,167.24 / $10,167.24 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.10 / $930.25 / $1,898.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $929.04 / $1,157.33