go back

South Carolina rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.21 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.94 / $1,003.21 / $2,104.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.00 / $8,468.35 / $14,519.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.17 / $856.70 / $1,330.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.42 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.80 / $1,079.30 / $1,993.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.68 / $1,024.73 / $1,688.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.70 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $716.59 / $1,179.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,932.00 / $13,786.00 / $20,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.34 / $1,058.20 / $1,946.51