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Missouri 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
$1,778.28 / $4,265.80 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,071.52 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,691.53 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,905.46