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West Virginia 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
$776.25 / $776.25 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,000.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,348.96