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Montana rates for HCPCS 55812

Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,511.89 / $2,691.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,754.23 / $3,090.30
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,754.23 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,344.23 / $3,090.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,659.59 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,981.07