go back

Utah rates for HCPCS 55812

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,187.76 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $3,548.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $2,884.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,951.21 / $4,168.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $3,311.31