go back

Indiana rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.79 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.65 / $1,071.79 / $1,429.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.72 / $1,308.40 / $1,857.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.19 / $1,293.85 / $1,492.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.28 / $1,194.33 / $1,492.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.36 / $1,392.09 / $2,363.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.40 / $1,317.85 / $2,315.80