go back

Oregon rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.64 / $7,950.89 / $13,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.20 / $1,088.75 / $3,259.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.63 / $1,675.72 / $2,292.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.05 / $1,805.88 / $2,034.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.70 / $1,645.03 / $2,362.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.58 / $1,376.40 / $2,502.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.34 / $1,475.86 / $1,561.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.70 / $1,838.45 / $10,199.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.30 / $1,780.67 / $2,289.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,525.75 / $15,225.66 / $19,370.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.79 / $1,912.59 / $2,445.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $22,956.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.59 / $1,797.19 / $2,449.08