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New Jersey 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
$4,466.84 / $7,244.36 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,096.48 / $2,691.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,288.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,584.89