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Utah rates for HCPCS 55875

Transperineal Plmt Ndl/Caths Prostate Radj Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.32 / $5,743.00 / $8,775.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.52 / $1,018.32 / $1,435.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.20 / $1,069.41 / $1,454.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $550.57 / $731.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.34 / $1,143.96 / $1,338.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $7,693.00 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.60 / $881.20 / $1,598.40