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Nebraska 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
$1,584.89 / $7,244.36 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $11,220.18 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,819.70 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,819.70 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $1,230.27 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,079.46 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $1,949.84