go back

Utah rates for HCPCS 55812

Prostatectomy Perineal Radical W/Lymph Node Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.69 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.32 / $2,154.69 / $3,211.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.80 / $2,271.38 / $2,986.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.29 / $1,162.31 / $1,553.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.53 / $2,425.98 / $2,835.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.83 / $2,080.91 / $3,448.60