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Maine rates for HCPCS 55812

Prostatectomy Perineal Radical W/Lymph Node Bx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.70 / $1,603.70 / $2,782.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.60 / $2,138.46 / $3,353.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.43 / $2,396.56 / $3,433.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.81 / $2,289.67 / $3,512.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.70 / $1,603.70 / $2,782.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.14 / $2,454.73 / $3,167.04