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Maine rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.55 / $3,301.55 / $3,458.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.24 / $769.02 / $1,232.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.26 / $1,026.10 / $1,647.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.30 / $1,165.13 / $1,669.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.54 / $1,125.04 / $1,725.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.55 / $3,301.55 / $3,458.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.24 / $779.92 / $1,232.86
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
$768.26 / $1,081.50 / $1,556.11