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Tennessee 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
$891.25 / $2,398.83 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $50,118.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,025.60 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,621.81