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North Dakota 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
$775.35 / $775.35 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.38 / $775.35 / $1,229.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.70 / $1,642.41 / $1,968.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.13 / $1,864.11 / $2,407.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.35 / $999.75 / $9,175.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.19 / $1,441.87 / $2,012.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,753.00 / $5,753.00 / $5,753.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.66 / $1,535.74 / $2,012.69