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North Carolina 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
$767.59 / $5,444.67 / $9,319.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.20 / $779.92 / $1,315.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.71 / $1,375.07 / $1,942.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.65 / $1,267.16 / $2,039.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.94 / $1,011.67 / $1,718.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.47 / $1,039.47 / $1,894.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,133.00 / $1,934.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $10,968.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.26 / $1,063.19 / $2,177.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,887.88 / $14,302.50 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,740.48 / $6,510.75 / $6,510.75