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Texas rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.00 / $3,224.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.50 / $833.21 / $1,232.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,520.73 / $6,559.01 / $12,398.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.72 / $896.86 / $1,249.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.77 / $5,350.33 / $5,350.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.65 / $1,037.27 / $1,557.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,131.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,740.48 / $5,835.28 / $6,510.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.54 / $991.65 / $2,025.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.97 / $1,167.47 / $1,419.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.40 / $1,066.40 / $1,066.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.40 / $993.47 / $2,025.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.04 / $1,049.56 / $1,627.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.00 / $7,060.00 / $19,992.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.95 / $877.70 / $1,362.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.24 / $744.53 / $1,031.68