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New Mexico 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
$1,000.00 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.50 / $779.92 / $2,033.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,283.19 / $12,220.08 / $19,593.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.23 / $936.71 / $1,373.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.34 / $1,163.09 / $1,428.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $223.81 / $1,214.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.75 / $1,116.83 / $1,173.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.71 / $1,163.09 / $1,428.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.50 / $1,201.76 / $1,741.96