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Washington, DC rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.94 / $1,246.94 / $2,787.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.58 / $1,310.73 / $1,428.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.41 / $1,447.89 / $3,689.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.63 / $2,446.19 / $2,446.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.02 / $2,339.59 / $3,178.82