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Oklahoma 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 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $17,782.79 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,981.07 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,754.40 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,174.90